Carraway, Kirsten L
Carraway, Kirsten L is an sole proprietor health care provider with primary practice located at 200 Washington St #211, Santa Cruz CA 95060-4976. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Carraway, Kirsten L can be contacted via phone (831) 477-6668.Contact Information
Primary practice address
200 Washington St #211
Santa Cruz CA 95060-4976
Phone: (831) 477-6668
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY20585 | California |
Profile Details
NPI number | 1043373913 |
---|---|
LBN Legal business name | Carraway, Kirsten L |
Credentials | PH.D. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 19th, 2006 |
Last updated | Oct 10th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1043373913 | NPPES |
California | Other | P00318497 | RAILROAD MEDICARE |
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