Wayne, Gwendolyn

Wayne, Gwendolyn is an sole proprietor health care provider with primary practice located at 17 Old Hickory Ln , Branford CT 06405-2827. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Wayne, Gwendolyn can be contacted via phone (203) 488-6411.

Contact Information

Primary practice address
17 Old Hickory Ln Branford CT 06405-2827
Phone: (203) 488-6411
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X 000394 Connecticut
Behavioral Health & Social Service Providers / Clinical 1041C0700X 8668 Connecticut

Profile Details

NPI number 1558796201
LBN Legal business name Wayne, Gwendolyn
Credentials LCSW, CMTPT, LMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 12th, 2013
Last updated Mar 9th, 2015 - about 10 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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