Hetzer, Laraine De Blonde
Hetzer, Laraine De Blonde is an individual health care provider with primary practice located at 12 Satterlee Place , Wappingers Falls NY 12590-2625. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Hetzer, Laraine De Blonde can be contacted via phone (845) 298-8070.Contact Information
Primary practice address
12 Satterlee Place
Wappingers Falls NY 12590-2625
Phone: (845) 298-8070
Fax: (845) 462-3310
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 0384431 | New York |
Profile Details
| NPI number | 1528194040 |
|---|---|
| LBN Legal business name | Hetzer, Laraine De Blonde |
| Credentials | MSW LDCSW R |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 26th, 2007 |
| Last updated | Jul 8th, 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 | 1528194040 | NPPES |
| New York | MEDICAID | 02261392 |
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