Rickenbacker, Meredith R

Rickenbacker, Meredith R is an sole proprietor health care provider with primary practice located at 1000 Main St Suite 3, Port Jefferson NY 11777-2250. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Rickenbacker, Meredith R can be contacted via phone (631) 827-8722.

Contact Information

Primary practice address
1000 Main St Suite 3 Port Jefferson NY 11777-2250
Phone: (631) 827-8722
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 075170-1 New York

Profile Details

NPI number 1447669569
LBN Legal business name Rickenbacker, Meredith R
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 4th, 2014
Last updated Aug 4th, 2014 - about 12 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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