Petzoldt, Krystin Michele

Petzoldt, Krystin Michele is an individual health care provider with primary practice located at 159 W 1St St , Oswego NY 13126-2045. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Petzoldt, Krystin Michele can be contacted via phone (716) 359-8335.

Contact Information

Primary practice address
159 W 1St St Oswego NY 13126-2045
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 022446-1 New York

Profile Details

NPI number 1275965022
LBN Legal business name Petzoldt, Krystin Michele
Credentials CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2013
Last updated May 20th, 2016 - about 10 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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