Sheila Purushotham
Social Worker, Clinical in Hamden, CT. Individual provider (NPI-1).
NPI number1083171508
StatusActive
Last updated in NPPESFeb 21, 2019
Details
- NPI
- 1083171508
- Entity type
- Individual (NPI-1)
- Name
- Sheila Purushotham
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 21, 2019
- Last updated
- Feb 21, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 10484 | CT | Yes |
Practice location
1400 Whitney AveHamden, CT 06517-2459
Phone 203-248-2116 · Fax 203-287-9815
Mailing address
96 Bristol Street ExtBranford, CT 06405-4843
Phone 203-752-6776
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