Chitwood, Paul K
Chitwood, Paul K is an sole proprietor health care provider with primary practice located at 4811 Chippendale Dr # 302, Sacramento CA 95841-2555. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Group Psychotherapy. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Chitwood, Paul K can be contacted via phone (916) 349-9403.Contact Information
Primary practice address
4811 Chippendale Dr # 302
Sacramento CA 95841-2555
Phone: (916) 349-9403
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 103TA0400X | PSY14963 | California |
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY14963 | California |
Behavioral Health & Social Service Providers / Group Psychotherapy | 103TP2701X | PSY14963 | California |
Profile Details
NPI number | 1932584539 |
---|---|
LBN Legal business name | Chitwood, Paul K |
Credentials | PHD |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 23rd, 2015 |
Last updated | Feb 11th, 2022 - about 2 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 | 1932584539 | NPPES |
California | Other | PSY14963 | STATE OF CALIFORNIA |
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