Valdiserra, Marisa L
Valdiserra, Marisa L is an sole proprietor health care provider with primary practice located at 255 Hempstead St , New London CT 06320-6204. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Valdiserra, Marisa L can be contacted via phone (860) 443-2896.Contact Information
Primary practice address
255 Hempstead St
New London CT 06320-6204
Phone: (860) 443-2896
Fax: (860) 442-5909
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 2721 | Connecticut |
Profile Details
| NPI number | 1598001380 |
|---|---|
| LBN Legal business name | Valdiserra, Marisa L |
| Credentials | Master of Arts (MA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 24th, 2012 |
| Last updated | Feb 16th, 2019 - about 5 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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