Knorr, Tina M

Knorr, Tina M is an individual health care provider with primary practice located at 134 Broad St Suite 7, Stroudsburg PA 18360-1590. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Knorr, Tina M can be contacted via phone (570) 421-7868.

Contact Information

Primary practice address
134 Broad St Suite 7 Stroudsburg PA 18360-1590
Fax: (570) 421-7820
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 7318-123 Wisconsin
Behavioral Health & Social Service Providers / Clinical 1041C0700X CW017131 Pennsylvania

Profile Details

NPI number 1235387077
LBN Legal business name Knorr, Tina M
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 5th, 2008
Last updated Mar 12th, 2012 - about 12 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 1235387077 NPPES
Wisconsin MEDICAID 39399300

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