Chinnici, Peter Phoenix

Chinnici, Peter Phoenix is an individual health care provider with primary practice located at 820 Las Gallinas Ave Kaiser Permanente Dept Of Psychiatry, San Rafael CA 94903-3410. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Chinnici, Peter Phoenix can be contacted via phone (415) 444-3027.

Contact Information

Primary practice address
820 Las Gallinas Ave Kaiser Permanente Dept Of Psychiatry San Rafael CA 94903-3410
Phone: (415) 444-3027
Fax: (415) 444-3019
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCS14720 California

Profile Details

NPI number 1619024288
LBN Legal business name Chinnici, Peter Phoenix
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 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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