Grant, Lori Rose
Grant, Lori Rose is an individual health care provider with primary practice located at 242 E Olive Street , Long Beach NY 11561. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Grant, Lori Rose can be contacted via phone (516) 889-4403.Contact Information
Primary practice address
242 E Olive Street
Long Beach NY 11561
Phone: (516) 889-4403
Fax: (516) 889-4403
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | R022705-1 | New York |
Profile Details
| NPI number | 1275749459 |
|---|---|
| LBN Legal business name | Grant, Lori Rose |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 15th, 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 | 1275749459 | NPPES |
| New York | Other | 146500 | VALUE OPTIONS |
| New York | Other | 0000194 | VALUE OPTIONS |
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