James, Kimberly Mullen

James, Kimberly Mullen is an individual health care provider with primary practice located at 75 Landing Meadow Rd , Smithtown NY 11787-1124. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. James, Kimberly Mullen can be contacted via phone (631) 360-4700.

Contact Information

Primary practice address
75 Landing Meadow Rd Smithtown NY 11787-1124
Phone: (631) 360-4700
Fax: (631) 360-4790
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 014928-1 New York

Profile Details

NPI number 1689793366
LBN Legal business name James, Kimberly Mullen
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1689793366 NPPES
New York Other 014928-1 LICENSE NUMBER

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