Koch, Carolyn Bradley

Koch, Carolyn Bradley is an individual health care provider with primary practice located at 3532 James St , Syracuse NY 13206-2488. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Case Manager/Care Coordinator. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Koch, Carolyn Bradley can be contacted via phone (315) 463-9413.

Contact Information

Primary practice address
3532 James St Syracuse NY 13206-2488
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 003135 New York
Other Service Providers / Case Manager/Care Coordinator 171M00000X 003135 New York

Profile Details

NPI number 1871644153
LBN Legal business name Koch, Carolyn Bradley
Credentials M.A., L.M.H.C.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 15th, 2007
Last updated Jun 6th, 2018 - about 6 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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