Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ETHAN BENNET SMITH, MSW
Active Sole ProprietorETHAN BENNET SMITH, MSW is a Adult Mental Health Clinic healthcare provider located in HAMDEN, Connecticut. NPI 1659502490 is currently active in the NPPES registry. Verify at CMS.
Adult Mental Health Clinic · HAMDEN, CT
Registration Details
- NPI Number
- 1659502490
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 28, 2009 (17.093513991147 yrs)
- Last Updated
- Jul 28, 2009
- Sole Proprietor
- Yes
Practice Information
- Address
-
95 CIRCULAR AVEHAMDEN, CT, 065144004Browse CT providers · Browse ZIP 06514
- Phone
- 2032886253
- Fax
- 2032880948
- Primary Specialty
-
Adult Mental Health Clinic
261QM0850X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.