Garretson, Kerry Lee

Garretson, Kerry Lee is an sole proprietor health care provider with primary practice located at 6912 Spring Valley Dr Suite 202C, Holland OH 43528-9676. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Cognitive & Behavioral. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Garretson, Kerry Lee can be contacted via phone (419) 866-4644.

Contact Information

Primary practice address
6912 Spring Valley Dr Suite 202C Holland OH 43528-9676
Phone: (419) 866-4644
Fax: (419) 861-5040
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 2500 Ohio
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 2500 Ohio

Profile Details

NPI number 1891839452
LBN Legal business name Garretson, Kerry Lee
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 16th, 2007
Last updated Oct 27th, 2011 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1891839452 NPPES
Ohio MEDICAID 0528003

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