Halbrook, John H
Halbrook, John H is an sole proprietor health care provider with primary practice located at 410 W 40Th St , New York NY 10018-1204. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Halbrook, John H can be contacted via phone (212) 358-1317.Contact Information
Primary practice address
410 W 40Th St
New York NY 10018-1204
Phone: (212) 358-1317
Fax: (203) 762-3106
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | R047940 | New York |
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 004362 | Connecticut |
Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 000546 | Connecticut |
Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 000035 | New York |
Profile Details
NPI number | 1710029210 |
---|---|
LBN Legal business name | Halbrook, John H |
Credentials | ED.D., LCSW, MFT |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 12th, 2007 |
Last updated | Jul 9th, 2007 - about 18 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 | 1710029210 | NPPES |
New York | Other | 10743237 | CAQH ID # FOR CREDENTIAL |
New York | Other | P2542770 | CAQH ID # FOR CREDENTIAL |
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