Russell, Kathleen
Russell, Kathleen is an sole proprietor health care provider with primary practice located at 27 Bailey Ct , Middle Island NY 11953-1321. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Russell, Kathleen can be contacted via phone (631) 345-3267.Contact Information
Primary practice address
27 Bailey Ct
Middle Island NY 11953-1321
Phone: (631) 345-3267
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 072586-1 | New York |
Profile Details
| NPI number | 1477873925 |
|---|---|
| LBN Legal business name | Russell, Kathleen |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 8th, 2010 |
| Last updated | Jun 8th, 2010 - about 16 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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