Dietrich, Courtney Alissa

Dietrich, Courtney Alissa is an sole proprietor health care provider with primary practice located at 255-03 75Th Avenue , Glen Oaks NY 11004. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Dietrich, Courtney Alissa can be contacted via phone (516) 458-4086.

Contact Information

Primary practice address
255-03 75Th Avenue Glen Oaks NY 11004
Phone: (516) 458-4086
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 075814-1 New York

Profile Details

NPI number 1720308711
LBN Legal business name Dietrich, Courtney Alissa
Credentials LMSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 2nd, 2010
Last updated Jun 2nd, 2010 - 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.

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