Segal, Samuel R

Segal, Samuel R is an sole proprietor health care provider with primary practice located at 88 Grandview Ave West Main Behavioral Health, Waterbury CT 06708-2509. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Segal, Samuel R can be contacted via phone (203) 573-6103.

Contact Information

Primary practice address
88 Grandview Ave West Main Behavioral Health Waterbury CT 06708-2509
Phone: (203) 573-6103
Fax: (203) 573-7578
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 000287 Connecticut
Behavioral Health & Social Service Providers / Professional 101YP2500X 000006 Connecticut

Profile Details

NPI number 1881874881
LBN Legal business name Segal, Samuel R
Credentials LPC, LADC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 7th, 2007
Last updated Nov 7th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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