Biddle, Phyllis Raye

Biddle, Phyllis Raye is an individual health care provider with primary practice located at 611 Forest Ave , Maysville KY 41056-1411. She recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as her primary health care specialty. Biddle, Phyllis Raye can be contacted via phone (606) 564-4016.

Contact Information

Primary practice address
611 Forest Ave Maysville KY 41056-1411
Fax: (606) 564-0295
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X 129589 Kentucky

Profile Details

NPI number 1417117375
LBN Legal business name Biddle, Phyllis Raye
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2008
Last updated Aug 30th, 2019 - about 5 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 1417117375 NPPES
Kentucky MEDICAID 7100304520

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