Walpole, Maryellen
Walpole, Maryellen is an sole proprietor health care provider with primary practice located at 400 Stillson Rd , Fairfield CT 06824-3103. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Walpole, Maryellen can be contacted via phone (203) 335-7000.Contact Information
Primary practice address
400 Stillson Rd
Fairfield CT 06824-3103
Phone: (203) 335-7000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 000548 | Connecticut |
Profile Details
| NPI number | 1912173246 |
|---|---|
| LBN Legal business name | Walpole, Maryellen |
| Credentials | Master of Science in Social Work (MSSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 6th, 2008 |
| Last updated | May 6th, 2008 - about 16 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 | 1912173246 | NPPES |
| Connecticut | Other | 140000548CT01 | ANTHEM BLUE CROSS & BLUE SHIELD |
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