Potter, Carla C

Potter, Carla C is an sole proprietor health care provider with primary practice located at 523 Ridgebury Rd , Slate Hill NY 10973-4310. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Potter, Carla C can be contacted via phone (845) 355-1092.

Contact Information

Primary practice address
523 Ridgebury Rd Slate Hill NY 10973-4310
Phone: (845) 355-1092
Fax: (845) 355-6535
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X R-20600-1 New York

Profile Details

NPI number 1639294903
LBN Legal business name Potter, Carla C
Credentials MSSW, LCSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 19th, 2007
Last updated Jan 6th, 2011 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1639294903 NPPES
New York Other 5459553 AETNA
New York Other 136227 AETNA

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