Kallhovd, Tiffany Derby
Kallhovd, Tiffany Derby is an sole proprietor health care provider with primary practice located at 4519 42Nd St Apt 4A, Sunnyside NY 11104-2974. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Kallhovd, Tiffany Derby can be contacted via phone (631) 445-8875.Contact Information
Primary practice address
4519 42Nd St Apt 4A
Sunnyside NY 11104-2974
Phone: (631) 445-8875
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 075643 | New York |
Profile Details
| NPI number | 1740514272 |
|---|---|
| LBN Legal business name | Kallhovd, Tiffany Derby |
| Credentials | LMSW, CASAC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 1st, 2009 |
| Last updated | Apr 1st, 2010 - about 14 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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