Peters, Kristen Marie
Peters, Kristen Marie is an sole proprietor health care provider with primary practice located at 1395 Atwood Ave Suite 203A, Johnston RI 02919-4929. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Peters, Kristen Marie can be contacted via phone (401) 262-0210.Contact Information
Primary practice address
1395 Atwood Ave Suite 203A
Johnston RI 02919-4929
Phone: (401) 262-0210
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ISW02228 | Rhode Island |
Profile Details
| NPI number | 1598012825 |
|---|---|
| LBN Legal business name | Peters, Kristen Marie |
| Credentials | LICSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 6th, 2012 |
| Last updated | Oct 18th, 2015 - about 11 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 | 1598012825 | NPPES |
| Rhode Island | MEDICAID | 202995889 |
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