Scranton, Martha Larosa
Scranton, Martha Larosa is an individual health care provider with primary practice located at 2717 N Steves Blvd # 11, Flagstaff AZ 86004-3959. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Scranton, Martha Larosa can be contacted via phone (928) 526-2968.Contact Information
Primary practice address
2717 N Steves Blvd # 11
Flagstaff AZ 86004-3959
Phone: (928) 526-2968
Fax: (928) 526-0708
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LCSW-10195 | Arizona |
Profile Details
| NPI number | 1821278623 |
|---|---|
| LBN Legal business name | Scranton, Martha Larosa |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 8th, 2007 |
| Last updated | Nov 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821278623 | NPPES |
| Arizona | MEDICAID | LCSW 718 174 |
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