Konczak, Richelle

Konczak, Richelle is an individual health care provider with primary practice located at 18646 Oxnard St , Tarzana CA 91356. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Konczak, Richelle can be contacted via phone (818) 996-1051.

Contact Information

Primary practice address
18646 Oxnard St Tarzana CA 91356
Phone: (818) 996-1051
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSB94023119 California

Profile Details

NPI number 1396287918
LBN Legal business name Konczak, Richelle
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2016
Last updated Oct 9th, 2019 - 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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