Kutner, Shannon Walsh
Kutner, Shannon Walsh is an sole proprietor health care provider with primary practice located at 147 Northern Pkwy , Riverhead NY 11901-2650. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Kutner, Shannon Walsh can be contacted via phone (631) 921-6611.Contact Information
Primary practice address
147 Northern Pkwy
Riverhead NY 11901-2650
Phone: (631) 921-6611
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 077160 | New York |
Profile Details
| NPI number | 1053670208 |
|---|---|
| LBN Legal business name | Kutner, Shannon Walsh |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 9th, 2012 |
| Last updated | May 9th, 2012 - about 14 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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