Kroodsma, Lara Irene
Kroodsma, Lara Irene is an individual health care provider with primary practice located at 250 Commercial St Suite 3004, Manchester NH 03101-1142. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Kroodsma, Lara Irene can be contacted via phone (603) 848-3387.Contact Information
Primary practice address
250 Commercial St Suite 3004
Manchester NH 03101-1142
Phone: (603) 848-3387
Fax: (603) 668-8666
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 1189 | New Hampshire |
Profile Details
| NPI number | 1972642809 |
|---|---|
| LBN Legal business name | Kroodsma, Lara Irene |
| Credentials | MA,MS, PSYD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 6th, 2007 |
| Last updated | Sep 28th, 2009 - about 15 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 | 1972642809 | NPPES |
| New Hampshire | Other | 7706646Y0NH01 | ANTHEM |
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