Active NPIIndividual providerSole proprietor

Dr. Rebecca G Etkin, PHD

Psychologist in New Haven, Connecticut

NPI Number1548757289
Practice location
350 George St, New Haven, CT 06511-6617
Fax
—
Last updated
February 23, 2022

Rebecca Grace Etkin is a Psychologist based in New Haven, CT. Rebecca Grace Etkin practices in New Haven, CT and has the professional credentials of PHD. The NPI Number for Rebecca Grace Etkin is 1548757289 and holds a License No. 8.004113 (CT). The current practice location address for Rebecca Grace Etkin is 350 George St, New Haven, CT 06511-6617 and can be reached out via phone at 917-737-4644.

Provider Profile Details

NPI Number
1548757289
Provider Name
Rebecca Grace Etkin
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
350 George St, New Haven, CT 06511-6617
Phone Number
917-737-4644
Primary Taxonomy
Psychologist · 103T00000X
Sole Proprietor
Yes
Provider Enumeration Date
April 18, 2018
Last Update Date
February 23, 2022
Certification Date
February 23, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
350 George St
New Haven, CT 06511-6617
Zip
06511-6617
Phone Number
917-737-4644
New Haven, CT 06511Get directions →

Provider Business Mailing Address Details

Address
350 George St
New Haven, CT 06511-6617
City
New Haven
State
CT
Zip
06511-6617
Phone Number
917-737-4644

License Information

License Number
8.004113
License State
CT
Taxonomy
Psychologist · 103T00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Rebecca G Etkin, PHD?

The NPI number of Dr. Rebecca G Etkin, PHD is 1548757289. It was assigned on April 18, 2018 and is currently active in the NPPES registry.

What is the specialty of Dr. Rebecca G Etkin, PHD?

Dr. Rebecca G Etkin, PHD is registered under the primary taxonomy Psychologist (code 103T00000X), licensed in CT under license number 8.004113.

Where does Dr. Rebecca G Etkin, PHD practice?

The practice location is 350 George St, New Haven, CT 06511-6617. The office can be reached at 917-737-4644 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1548757289 directly on the NPPES registry website.

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