Stoll, Charles Ladd

Stoll, Charles Ladd is an sole proprietor health care provider with primary practice located at 123 Mearns Ave , Highland Falls NY 10928-1009. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Stoll, Charles Ladd can be contacted via phone (718) 781-4005.

Contact Information

Primary practice address
123 Mearns Ave Highland Falls NY 10928-1009
Phone: (718) 781-4005
Fax: (845) 977-0244
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 076977 New York

Profile Details

NPI number 1225238660
LBN Legal business name Stoll, Charles Ladd
Credentials LCSW,CASAC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 24th, 2007
Last updated Jan 21st, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1225238660 NPPES
New York MEDICAID 03041967

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