Doctor Name: | ANDREW HULTQUIST |
NPI Number: | 1578897013 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | BA |
License Number: | |
Business Practice Address: | 33 Highland Street Hospital Of Central Connecticut,1st Floor New Britain, CT - 06052 |
Business Phone Number: | 8602249919 |
Business Fax Number: | 8606120009 |
Mailing Address: | 33 Highland Street,, 1st Floor Hospital Of Central Connecticut NEW BRITAIN |
State: | CT |
Postal Code: | 06052 |
Phone Number: | 8602249919 |
Fax Number: | 8606120009 |
NPI Enumeration Date: | 10/01/2009 |
NPI Last Update Date: | 10/01/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |