Raiz, Kathleen

Raiz, Kathleen is an sole proprietor health care provider with primary practice located at 10 Tyburn Ln , South Setauket NY 11720-1428. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Raiz, Kathleen can be contacted via phone (516) 698-5511.

Contact Information

Primary practice address
10 Tyburn Ln South Setauket NY 11720-1428
Fax: (516) 418-5377
Website:

Health care specialties

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

Profile Details

NPI number 1861981045
LBN Legal business name Raiz, Kathleen
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 3rd, 2018
Last updated May 3rd, 2018 - about 7 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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