Haddad, Roy

Haddad, Roy is an sole proprietor health care provider with primary practice located at 8120 Penn Ave S Ste 500U , Bloomington MN 55431-1367. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Haddad, Roy can be contacted via phone (952) 245-0369.

Contact Information

Primary practice address
8120 Penn Ave S Ste 500U Bloomington MN 55431-1367
Phone: (952) 245-0369
Fax: (952) 516-5282
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1508479700
LBN Legal business name Haddad, Roy
Credentials LPCC, LADC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 26th, 2020
Last updated Jul 19th, 2023 - about last year

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 1508479700 NPPES
Minnesota MEDICAID 000000

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