Patrisso, Mindy Robin

Patrisso, Mindy Robin is an sole proprietor health care provider with primary practice located at 12 Smull Ave , Caldwell NJ 07006-5012. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Patrisso, Mindy Robin can be contacted via phone (973) 494-4068.

Contact Information

Primary practice address
12 Smull Ave Caldwell NJ 07006-5012
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 44SC04945100 New Jersey

Profile Details

NPI number 1194379156
LBN Legal business name Patrisso, Mindy Robin
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 29th, 2019
Last updated Jul 29th, 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 1194379156 NPPES
New Jersey Other 060300 PRIVATE CLIENTS

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