Peabody, Carolyn Grace
Peabody, Carolyn Grace is an sole proprietor health care provider with primary practice located at 53840 Main Rd , Southold NY 11971-4625. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Peabody, Carolyn Grace can be contacted via phone (631) 323-1333.Contact Information
Primary practice address
53840 Main Rd
Southold NY 11971-4625
Phone: (631) 323-1333
Fax: (631) 323-3824
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | R038969-1 | New York |
Profile Details
| NPI number | 1902061997 |
|---|---|
| LBN Legal business name | Peabody, Carolyn Grace |
| Credentials | PH.D., L.C.S.W. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 19th, 2008 |
| Last updated | Jul 19th, 2008 - about 16 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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