Park, Tricia L
Park, Tricia L is an individual health care provider with primary practice located at 202 E Main St , Endicott NY 13760-4817. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Park, Tricia L can be contacted via phone (607) 754-2660.Contact Information
Primary practice address
202 E Main St
Endicott NY 13760-4817
Phone: (607) 754-2660
Fax: (607) 754-2660
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 015109-1 | New York |
Profile Details
| NPI number | 1548297724 |
|---|---|
| LBN Legal business name | Park, Tricia L |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 26th, 2006 |
| Last updated | Nov 4th, 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.
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