Wyckoff, Emily

Wyckoff, Emily is an individual health care provider with primary practice located at 10 Jolley Dr , Bloomfield CT 06002-3061. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Health, Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Wyckoff, Emily can be contacted via phone (860) 286-2470.

Contact Information

Primary practice address
10 Jolley Dr Bloomfield CT 06002-3061
Phone: (860) 286-2470
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Health 103TH0004X 4566 Connecticut
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Clinical 103TC0700X 004566 Connecticut

Profile Details

NPI number 1669150116
LBN Legal business name Wyckoff, Emily
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2023
Last updated Aug 29th, 2023 - 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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