Havlicek, Raymond J

Havlicek, Raymond J is an sole proprietor health care provider with primary practice located at 30 Cayuga Way , Lake Placid NY 12946-3915. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Forensic. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Havlicek, Raymond J can be contacted via phone (518) 441-9426.

Contact Information

Primary practice address
30 Cayuga Way Lake Placid NY 12946-3915
Fax: (516) 776-9275
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 004718 New York
Behavioral Health & Social Service Providers / Forensic 103TF0200X 004718 New York

Profile Details

NPI number 1215152095
LBN Legal business name Havlicek, Raymond J
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 16th, 2007
Last updated Apr 20th, 2009 - about 15 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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