Novotny, Kristine Anne
Novotny, Kristine Anne is an sole proprietor health care provider with primary practice located at 2558 Roosevelt St Ste 304 , Carlsbad CA 92008-1672. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Novotny, Kristine Anne can be contacted via phone (760) 688-8922.Contact Information
Primary practice address
2558 Roosevelt St Ste 304
Carlsbad CA 92008-1672
Phone: (760) 688-8922
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | MFC 51348 | California |
Profile Details
| NPI number | 1467590653 |
|---|---|
| LBN Legal business name | Novotny, Kristine Anne |
| Credentials | Master of Arts (MA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 1st, 2007 |
| Last updated | Jun 27th, 2016 - about 8 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 | 1467590653 | NPPES |
| Arizona | Other | AZ0408170 | BLUE CROSS BLUE SHIELD |
| Arizona | Other | MFC 51348 | BLUE CROSS BLUE SHIELD |
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