Ihde, Leslie

Ihde, Leslie is an sole proprietor health care provider with primary practice located at 400 Main St , Vestal NY 13850-1536. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Ihde, Leslie can be contacted via phone (607) 754-1303.

Contact Information

Primary practice address
400 Main St Vestal NY 13850-1536
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X R031861 New York

Profile Details

NPI number 1689739849
LBN Legal business name Ihde, Leslie
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 27th, 2006
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689739849 NPPES
New York Other 137402 VALUE OPTIONS

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