Weidner, Kristine A

Weidner, Kristine A is an sole proprietor health care provider with primary practice located at 1 Howard Ave , Branford CT 06405-4920. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Weidner, Kristine A can be contacted via phone (518) 466-4408.

Contact Information

Primary practice address
1 Howard Ave Branford CT 06405-4920
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 010161 Connecticut

Profile Details

NPI number 1871535914
LBN Legal business name Weidner, Kristine A
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 12th, 2006
Last updated Jan 5th, 2022 - about 2 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 1871535914 NPPES
New York Other 313547 UNITED BEHAVIORAL HEALTH
New York Other 141348692 UNITED BEHAVIORAL HEALTH
New York Other 383004 UNITED BEHAVIORAL HEALTH
New York Other 549454 UNITED BEHAVIORAL HEALTH
New York Other 000411377001 UNITED BEHAVIORAL HEALTH

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