Bradley-Petersen, Erin Michelle

Bradley-Petersen, Erin Michelle is an individual health care provider with primary practice located at 41 Dolson Ave , Middletown NY 10940-6489. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Bradley-Petersen, Erin Michelle can be contacted via phone (845) 342-5789.

Contact Information

Primary practice address
41 Dolson Ave Middletown NY 10940-6489
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 079199-1 New York
Behavioral Health & Social Service Providers / Social Worker 104100000X 072751-1 New York

Profile Details

NPI number 1669647475
LBN Legal business name Bradley-Petersen, Erin Michelle
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 23rd, 2008
Last updated May 10th, 2012 - about 12 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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