Rodriguez, Kim H

Rodriguez, Kim H is an sole proprietor health care provider with primary practice located at 21 Turnip Hl , Northport NY 11768-1650. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Rodriguez, Kim H can be contacted via phone (631) 790-6575.

Contact Information

Primary practice address
21 Turnip Hl Northport NY 11768-1650
Phone: (631) 790-6575
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 000545 New York

Profile Details

NPI number 1215152384
LBN Legal business name Rodriguez, Kim H
Credentials PH.D., LMHC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 16th, 2007
Last updated Jan 7th, 2009 - about 17 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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