Carrizales, Katherine
Carrizales, Katherine is an individual health care provider with primary practice located at 2622 Avenue C , Scottsbluff NE 69361-1680. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Carrizales, Katherine can be contacted via phone (308) 632-8547.Contact Information
Primary practice address
2622 Avenue C
Scottsbluff NE 69361-1680
Phone: (308) 632-8547
Fax: (308) 632-0135
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 10227 | Nebraska |
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 528 | Nebraska |
Profile Details
NPI number | 1073933354 |
---|---|
LBN Legal business name | Carrizales, Katherine |
Credentials | PH.D. |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 24th, 2014 |
Last updated | Jun 1st, 2016 - about 8 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 | 1073933354 | NPPES |
Nebraska | MEDICAID | 47083791626 |
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