Hetterich, Kimberly Rose

Hetterich, Kimberly Rose is an individual health care provider with primary practice located at 251 E Oakland Ave , Port Jefferson NY 11777-2602. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Hetterich, Kimberly Rose can be contacted via phone (631) 928-0188.

Contact Information

Primary practice address
251 E Oakland Ave Port Jefferson NY 11777-2602
Phone: (631) 928-0188
Fax: (631) 928-0185
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 002295 New York

Profile Details

NPI number 1659682276
LBN Legal business name Hetterich, Kimberly Rose
Credentials AU.D., CCC-A
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2010
Last updated Jul 12th, 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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