Kiselica, Mark S.

Kiselica, Mark S. is an sole proprietor health care provider with primary practice located at 41 Copperleaf Dr , Newtown PA 18940-1782. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Kiselica, Mark S. can be contacted via phone (215) 860-5964.

Contact Information

Primary practice address
41 Copperleaf Dr Newtown PA 18940-1782
Phone: (215) 860-5964
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 37PC00226600 New Jersey
Behavioral Health & Social Service Providers / Professional 101YP2500X PC002162 Pennsylvania
Behavioral Health & Social Service Providers / Clinical 103TC0700X PS008527L Pennsylvania
Behavioral Health & Social Service Providers / Clinical 103TC0700X 20040606 Indiana

Profile Details

NPI number 1073623062
LBN Legal business name Kiselica, Mark S.
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 30th, 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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