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
Phone: (631) 632-6720
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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.
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