Riddle, Bethany Clarke

Riddle, Bethany Clarke is an sole proprietor health care provider with primary practice located at 100 Nicholls Rd. , Stony Brook NY 11790-3100. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Riddle, Bethany Clarke can be contacted via phone (631) 632-6720.

Contact Information

Primary practice address
100 Nicholls Rd. Stony Brook NY 11790-3100
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 017314 New York

Profile Details

NPI number 1285829689
LBN Legal business name Riddle, Bethany Clarke
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 9th, 2007
Last updated Sep 29th, 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.

Request for update

Popular Providers