Kleemeier, Carol P
Kleemeier, Carol P is an sole proprietor health care provider with primary practice located at 3580 Habersham At Northlake , Tucker GA 30084. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Kleemeier, Carol P can be contacted via phone (770) 939-3073.Contact Information
Primary practice address
3580 Habersham At Northlake
Tucker GA 30084
Phone: (770) 939-3073
Fax: (770) 939-3275
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 506 | Georgia |
Profile Details
| NPI number | 1477615383 |
|---|---|
| LBN Legal business name | Kleemeier, Carol P |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 15th, 2006 |
| Last updated | Dec 2nd, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477615383 | NPPES |
| Georgia | MEDICAID | 000612917A |
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