Iltis, Carolee E

Iltis, Carolee E is an individual health care provider with primary practice located at 510 Haight Avenue Ste 203 Spectrurm Behavioral Management Serv Inc, Poughkeepsie NY 12603-2408. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Iltis, Carolee E can be contacted via phone (845) 485-9098.

Contact Information

Primary practice address
510 Haight Avenue Ste 203 Spectrurm Behavioral Management Serv Inc Poughkeepsie NY 12603-2408
Phone: (845) 485-9098
Fax: (845) 485-8780
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 015446 New York

Profile Details

NPI number 1710097076
LBN Legal business name Iltis, Carolee E
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
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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Identifiers

StateTypeNumberIssuer
All States NPI 1710097076 NPPES
Other 713312 MVP HEALTH CARE
Other 1033150 MVP HEALTH CARE
Other 7488652 MVP HEALTH CARE

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