Sise, Kerry M
Sise, Kerry M is an sole proprietor health care provider with primary practice located at 1404 Rancho Villa Dr , Gulf Breeze FL 32563-2618. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Sise, Kerry M can be contacted via phone (850) 485-4773.Contact Information
Primary practice address
1404 Rancho Villa Dr
Gulf Breeze FL 32563-2618
Phone: (850) 485-4773
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | IMH 5801 | Florida |
Profile Details
| NPI number | 1962684779 |
|---|---|
| LBN Legal business name | Sise, Kerry M |
| Credentials | M.S. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 4th, 2007 |
| Last updated | Dec 12th, 2007 - about 18 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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