| Galvan Henkin LLC | |
|
4 Todds Way Westport CT 06880-5645 | |
| (203) 255-2680 | |
| Not Available |
| Full Name | Galvan Henkin LLC |
|---|---|
| Speciality | Social Worker |
| Location | 4 Todds Way, Westport, Connecticut |
| Authorized Official Name and Position | Anita Sandra Galvan-henkin (MEMBER) |
| Authorized Official Contact | 2032552680 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Galvan Henkin LLC 4 Todds Way Westport CT 06880-5645 Ph: (203) 255-2680 | Galvan Henkin LLC 4 Todds Way Westport CT 06880-5645 Ph: (203) 255-2680 |
| NPI Number | 1366884249 |
|---|---|
| Provider Enumeration Date | 07/22/2013 |
| Last Update Date | 07/22/2013 |
| Medicare PECOS PAC ID | 1456593532 |
|---|---|
| Medicare Enrollment ID | O20130820000856 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366884249 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 102L00000X | Psychoanalyst | () | Secondary |
| 1041C0700X | Social Worker - Clinical | () | Primary |
| Provider Name | Anita Sandra Galvan-henkin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639155062 PECOS PAC ID: 3971745068 Enrollment ID: I20130820000997 |
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