Krivitzky, Lauren

Krivitzky, Lauren is an sole proprietor health care provider with primary practice located at 34Th & Civic Center Blvd , Philadelphia PA 19104. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as her primary health care specialty. Krivitzky, Lauren can be contacted via phone (215) 590-7555.

Contact Information

Primary practice address
34Th & Civic Center Blvd Philadelphia PA 19104
Phone: (215) 590-7555
Fax: (215) 590-7387
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PSY100234 District of Columbia
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PS017107 Pennsylvania

Profile Details

NPI number 1710067392
LBN Legal business name Krivitzky, Lauren
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 17th, 2006
Last updated Feb 2nd, 2012 - about 13 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 1710067392 NPPES
Maryland MEDICAID 002747200

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