Krotick, Stephanie M
Krotick, Stephanie M is an individual health care provider with primary practice located at 161 Forbes Road Ste 107, Braintree MA 02184. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Krotick, Stephanie M can be contacted via phone (781) 849-6176.Contact Information
Primary practice address
161 Forbes Road Ste 107
Braintree MA 02184
Phone: (781) 849-6176
Fax: (781) 849-1998
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 106200 | Massachusetts |
Profile Details
| NPI number | 1982760765 |
|---|---|
| LBN Legal business name | Krotick, Stephanie M |
| Credentials | MSW LICSW BCD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 28th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1982760765 | NPPES |
| Massachusetts | Other | KRP03883 | BCBS |
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