Costa, Kristen Lee

Costa, Kristen Lee is an individual health care provider with primary practice located at 511 W Grove St Suite 105, Middleboro MA 02346-1458. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Costa, Kristen Lee can be contacted via phone (508) 923-3427.

Contact Information

Primary practice address
511 W Grove St Suite 105 Middleboro MA 02346-1458
Phone: (508) 923-3427
Fax: (508) 923-3428
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 112239 Massachusetts

Profile Details

NPI number 1437298940
LBN Legal business name Costa, Kristen Lee
Credentials LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 5th, 2007
Last updated Jul 8th, 2007 - about 19 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 1437298940 NPPES
Massachusetts Other 7009847 AETNA
Massachusetts Other 494574 AETNA
Massachusetts Other PO8602 AETNA

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