Petzold, Therese Marie
Petzold, Therese Marie is an sole proprietor health care provider with primary practice located at 1224 Venable Ave , Owensboro KY 42301-2756. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Petzold, Therese Marie can be contacted via phone (270) 685-2203.Contact Information
Primary practice address
1224 Venable Ave
Owensboro KY 42301-2756
Phone: (270) 685-2203
Fax: (270) 689-6677
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 7063 | Kentucky |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 252907 | Kentucky |
Profile Details
| NPI number | 1528460110 |
|---|---|
| LBN Legal business name | Petzold, Therese Marie |
| Credentials | MSW, LCSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 25th, 2014 |
| Last updated | Nov 28th, 2017 - about 9 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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