Bertelsen, Kristine Ann Grimes
Bertelsen, Kristine Ann Grimes is an sole proprietor health care provider with primary practice located at 415 N Tioga St Second Floor, Ithaca NY 14850-4228. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Bertelsen, Kristine Ann Grimes can be contacted via phone (607) 272-7247.Contact Information
Primary practice address
415 N Tioga St Second Floor
Ithaca NY 14850-4228
Phone: (607) 272-7247
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 000256 | New York |
Profile Details
| NPI number | 1497883193 |
|---|---|
| LBN Legal business name | Bertelsen, Kristine Ann Grimes |
| Credentials | LMHC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 2nd, 2007 |
| Last updated | Jul 8th, 2007 - 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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