O'Hara, Susana Krivatsy
O'Hara, Susana Krivatsy is an sole proprietor health care provider with primary practice located at 55 Heritage Hill Circle , Eastham MA 02642-0392. She recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as her primary health care specialty. O'Hara, Susana Krivatsy can be contacted via phone (508) 255-4355.Contact Information
Primary practice address
55 Heritage Hill Circle
Eastham MA 02642-0392
Phone: (508) 255-4355
Fax: (508) 255-4355
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | 2082 | Massachusetts |
Profile Details
| NPI number | 1710068861 |
|---|---|
| LBN Legal business name | O'Hara, Susana Krivatsy |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 17th, 2006 |
| Last updated | Aug 25th, 2022 - about 3 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 | 1710068861 | NPPES |
| Massachusetts | Other | W02460 | BLUE CROSS/BLUE SHIELD |
| Massachusetts | MEDICAID | 110081217A | BLUE CROSS/BLUE SHIELD |
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