Healthcare Provider Details

I. General information

NPI: 1558549196
Provider Name (Legal Business Name): DEBORAH S HULIEN M.ED., MSW, NCC, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/06/2008
Last Update Date: 02/06/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1921 PARK ST
HARTFORD CT
06106-2118
US

IV. Provider business mailing address

109 DEER RUN DR
COLCHESTER CT
06415-1861
US

V. Phone/Fax

Practice location:
  • Phone: 860-951-8770
  • Fax:
Mailing address:
  • Phone: 860-267-4498
  • Fax: 860-233-2796

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number001637
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: