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
Health care specialties
Specialty | Code | License # | 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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