Petersen, Holly

Petersen, Holly is an individual health care provider with primary practice located at 1143 47Th Ave , Long Island City NY 11101-5465. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Petersen, Holly can be contacted via phone (631) 880-0644.

Contact Information

Primary practice address
1143 47Th Ave Long Island City NY 11101-5465
Phone: (631) 880-0644
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 085016 New York

Profile Details

NPI number 1760806103
LBN Legal business name Petersen, Holly
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 5th, 2014
Last updated Feb 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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