Laine, Carey E

Laine, Carey E is an sole proprietor health care provider with primary practice located at 11327 Willow Valley Rd Ste A, Nevada City CA 95959-8623. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Exercise & Sports, Behavioral Health & Social Service Providers / Family, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Laine, Carey E can be contacted via phone (530) 277-0976.

Contact Information

Primary practice address
11327 Willow Valley Rd Ste A Nevada City CA 95959-8623
Phone: (530) 277-0976
Fax: (833) 900-1392
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PSY 21635 California
Behavioral Health & Social Service Providers / Exercise & Sports 103TE1100X PSY 21635 California
Behavioral Health & Social Service Providers / Family 103TF0000X PSY 21635 California
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY 21635 California

Profile Details

NPI number 1205834058
LBN Legal business name Laine, Carey E
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 13th, 2005
Last updated Dec 4th, 2019 - about 5 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 1205834058 NPPES
California Other OPL 216 350 BLUE SHIELD
California Other 12290214 BLUE SHIELD

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