Geduld, Carolyn
Geduld, Carolyn is an sole proprietor health care provider with primary practice located at 1120 E 1St St , Bloomington IN 47401-5006. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Geduld, Carolyn can be contacted via phone (812) 369-8389.Contact Information
Primary practice address
1120 E 1St St
Bloomington IN 47401-5006
Phone: (812) 369-8389
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 34000542A | Indiana |
Profile Details
| NPI number | 1407829427 |
|---|---|
| LBN Legal business name | Geduld, Carolyn |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 9th, 2006 |
| Last updated | Jun 28th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407829427 | NPPES |
| Indiana | Other | 000000298179 | ANTHEM |
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