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
Health care specialties
Specialty | Code | License # | 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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