Stevens, Laurie

Stevens, Laurie is an individual health care provider with primary practice located at 300 Plaza Middlesex 3Rd Floor, Middletown CT 06457. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Stevens, Laurie can be contacted via phone (860) 347-9911.

Contact Information

Primary practice address
300 Plaza Middlesex 3Rd Floor Middletown CT 06457
Fax: (860) 347-8120
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 2042 Connecticut

Profile Details

NPI number 1376588772
LBN Legal business name Stevens, Laurie
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2006
Last updated Jul 8th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1376588772 NPPES
Other 776103 CONNECTICARE
Other 163129 CONNECTICARE
Other P811485 CONNECTICARE
Other 5813538 CONNECTICARE
Other 06000204CT01 CONNECTICARE

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