Petersen-Cleary, Mary-Beth

Petersen-Cleary, Mary-Beth is an individual health care provider with primary practice located at 3370 Delaware Ave , Kenmore NY 14217-1425. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Petersen-Cleary, Mary-Beth can be contacted via phone (716) 877-8822.

Contact Information

Primary practice address
3370 Delaware Ave Kenmore NY 14217-1425
Phone: (716) 877-8822
Fax: (716) 874-5245
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 00056518 New York

Profile Details

NPI number 1912955865
LBN Legal business name Petersen-Cleary, Mary-Beth
Credentials LCSW-R
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Jun 5th, 2014 - about 10 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 1912955865 NPPES
New York Other 000302141501 UNIVERA
New York Other 000590325001 UNIVERA

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