Crivello, Kathleen G
Crivello, Kathleen G is an sole proprietor health care provider with primary practice located at 17800 Us Highway 18 , Apple Valley CA 92307-1221. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Crivello, Kathleen G can be contacted via phone (760) 242-6336.Contact Information
Primary practice address
17800 Us Highway 18
Apple Valley CA 92307-1221
Phone: (760) 242-6336
Fax: (760) 242-5363
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 15415 | California |
Profile Details
| NPI number | 1710014097 |
|---|---|
| LBN Legal business name | Crivello, Kathleen G |
| Credentials | ASW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 27th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710014097 | NPPES |
| California | Other | 15415 | ASW |
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