Heidrich, Genevieve
Heidrich, Genevieve is an individual health care provider with primary practice located at 646 Main Street , Port Jefferson NY 11777. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Heidrich, Genevieve can be contacted via phone (631) 928-4148.Contact Information
Primary practice address
646 Main Street
Port Jefferson NY 11777
Phone: (631) 928-4148
Fax: (631) 331-8044
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | R0402081 | New York |
Profile Details
| NPI number | 1790839272 |
|---|---|
| LBN Legal business name | Heidrich, Genevieve |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 22nd, 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.
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