Provetto, Alexis

Provetto, Alexis is an individual health care provider with primary practice located at 190 Pond View Ln , Smithtown NY 11787-5200. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Provetto, Alexis can be contacted via phone (631) 656-6411.

Contact Information

Primary practice address
190 Pond View Ln Smithtown NY 11787-5200
Phone: (631) 656-6411
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 020477 New York

Profile Details

NPI number 1356540462
LBN Legal business name Provetto, Alexis
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2007
Last updated Jul 30th, 2014 - about 12 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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