Thompson, Elizabeth Ann
Thompson, Elizabeth Ann is an sole proprietor health care provider with primary practice located at 238 Jewett Ave , Bridgeport CT 06606-2845. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Thompson, Elizabeth Ann can be contacted via phone (203) 372-4301.Contact Information
Primary practice address
238 Jewett Ave
Bridgeport CT 06606-2845
Phone: (203) 372-4301
Fax: (203) 373-0835
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 002102 | Connecticut |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 002102 | Connecticut |
Profile Details
| NPI number | 1548419880 |
|---|---|
| LBN Legal business name | Thompson, Elizabeth Ann |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 11th, 2008 |
| Last updated | Dec 1st, 2015 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548419880 | NPPES |
| Connecticut | MEDICAID | 004040655 |
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