Kool, Stefanie Marie
Kool, Stefanie Marie is an sole proprietor health care provider with primary practice located at 2620 N 140Th Ave Ste 101 , Goodyear AZ 85395-2437. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Kool, Stefanie Marie can be contacted via phone (623) 536-7956.Contact Information
Primary practice address
2620 N 140Th Ave Ste 101
Goodyear AZ 85395-2437
Phone: (623) 536-7956
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 4140 | Arizona |
Profile Details
| NPI number | 1629386289 |
|---|---|
| LBN Legal business name | Kool, Stefanie Marie |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 16th, 2010 |
| Last updated | May 2nd, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629386289 | NPPES |
| Other | Z196224 | PTAN |
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