Brenckle, Kathleen A.
Brenckle, Kathleen A. is an sole proprietor health care provider with primary practice located at 8500 Brooktree Road Suite 230, Wexford PA 15090-9287. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Brenckle, Kathleen A. can be contacted via phone (724) 935-6922.Contact Information
Primary practice address
8500 Brooktree Road Suite 230
Wexford PA 15090-9287
Phone: (724) 935-6922
Fax: (724) 935-6921
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | CWO14480 | Pennsylvania |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | CW014480 | Pennsylvania |
Profile Details
| NPI number | 1811023773 |
|---|---|
| LBN Legal business name | Brenckle, Kathleen A. |
| Credentials | MSW, LCSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 26th, 2007 |
| Last updated | Jul 26th, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811023773 | NPPES |
| Pennsylvania | Other | 204766131 | TAX IDENTIFICATION NUMBER |
| Pennsylvania | Other | CW014480 | TAX IDENTIFICATION NUMBER |
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