Bryan, Keith Spencer

Bryan, Keith Spencer is an individual health care provider with primary practice located at 222 West Market St , Long Beach NY 11561. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Bryan, Keith Spencer can be contacted via phone (516) 375-0192.

Contact Information

Primary practice address
222 West Market St Long Beach NY 11561
Phone: (516) 375-0192
Fax: (516) 889-7899
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X R0410061 New York

Profile Details

NPI number 1871644575
LBN Legal business name Bryan, Keith Spencer
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2007
Last updated Jul 8th, 2007 - about 17 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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