Boettcher, Caroline A.
Boettcher, Caroline A. is an sole proprietor health care provider with primary practice located at 24 Grant Pl , Lindenhurst NY 11757-5922. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Clinical Child & Adolescent is her primary health care specialty. Boettcher, Caroline A. can be contacted via phone (631) 495-8413.Contact Information
Primary practice address
24 Grant Pl
Lindenhurst NY 11757-5922
Phone: (631) 495-8413
Fax: (631) 412-5571
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 015284 | New York |
| Behavioral Health & Social Service Providers / School | 103TS0200X | 015284 | New York |
Profile Details
| NPI number | 1619952694 |
|---|---|
| LBN Legal business name | Boettcher, Caroline A. |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 13th, 2005 |
| Last updated | Sep 11th, 2011 - about 14 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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