Ostrom, Carly

Ostrom, Carly is an individual health care provider with primary practice located at 619 S Marion Ave , Lake City FL 32025-5808. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Adult Development & Aging, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Ostrom, Carly can be contacted via phone (386) 755-2016.

Contact Information

Primary practice address
619 S Marion Ave Lake City FL 32025-5808
Phone: (386) 755-2016
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Adult Development & Aging 103TA0700X
Behavioral Health & Social Service Providers / Clinical 103TC0700X 9547 Florida

Profile Details

NPI number 1619356763
LBN Legal business name Ostrom, Carly
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2015
Last updated May 18th, 2016 - about 9 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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