Grohman, Kerry Kathleen

Grohman, Kerry Kathleen is an sole proprietor health care provider with primary practice located at 3495 Bailey Ave Va-Wnyhs, 116B, Buffalo NY 14215-1129. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Counseling. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is her primary health care specialty. Grohman, Kerry Kathleen can be contacted via phone (716) 833-3827.

Contact Information

Primary practice address
3495 Bailey Ave Va-Wnyhs, 116B Buffalo NY 14215-1129
Phone: (716) 833-3827
Fax: (716) 833-9710
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 015340-1 New York
Behavioral Health & Social Service Providers / Counseling 103TC1900X 015340-1 New York

Profile Details

NPI number 1083709943
LBN Legal business name Grohman, Kerry Kathleen
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 4th, 2006
Last updated Apr 29th, 2008 - about 18 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 1083709943 NPPES
New York MEDICAID 02407041

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