Carraway, Kirsten L

Carraway, Kirsten L is an sole proprietor health care provider with primary practice located at 200 Washington St #211, Santa Cruz CA 95060-4976. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Carraway, Kirsten L can be contacted via phone (831) 477-6668.

Contact Information

Primary practice address
200 Washington St #211 Santa Cruz CA 95060-4976
Phone: (831) 477-6668
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY20585 California

Profile Details

NPI number 1043373913
LBN Legal business name Carraway, Kirsten L
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 19th, 2006
Last updated Oct 10th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043373913 NPPES
California Other P00318497 RAILROAD MEDICARE

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