Conrad, Joseph B

Conrad, Joseph B is an individual health care provider with primary practice located at 1700 N Mcmullen Booth Rd , Clearwater FL 33759. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Conrad, Joseph B can be contacted via phone (859) 916-2486.

Contact Information

Primary practice address
1700 N Mcmullen Booth Rd Clearwater FL 33759
Phone: (859) 916-2486
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 0510 Kentucky
Behavioral Health & Social Service Providers / Counseling 103TC1900X 165058 Kentucky
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY9879 Florida

Profile Details

NPI number 1811042427
LBN Legal business name Conrad, Joseph B
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2007
Last updated Aug 13th, 2018 - about 8 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 1811042427 NPPES
Kentucky MEDICAID 30615058

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