Redell, Kristin Marie

Redell, Kristin Marie is an individual health care provider with primary practice located at 85 Bryant Woods S , Amherst NY 14228-3604. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Redell, Kristin Marie can be contacted via phone (716) 689-3333.

Contact Information

Primary practice address
85 Bryant Woods S Amherst NY 14228-3604
Phone: (716) 689-3333
Fax: (716) 689-9695
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 072895 New York

Profile Details

NPI number 1477643716
LBN Legal business name Redell, Kristin Marie
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2006
Last updated Jul 6th, 2011 - about 13 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 1477643716 NPPES
New York Other 000506354006 COMMUNITY BLUE
New York Other 00030241501 COMMUNITY BLUE

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