Stanley, Laurel Virginia
Stanley, Laurel Virginia is an sole proprietor health care provider with primary practice located at 2656 W State St Suite 511, Olean NY 14760-1871. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Stanley, Laurel Virginia can be contacted via phone (716) 372-4123.Contact Information
Primary practice address
2656 W State St Suite 511
Olean NY 14760-1871
Phone: (716) 372-4123
Fax: (716) 372-4123
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | R060193-1 | New York |
Profile Details
NPI number | 1760474324 |
---|---|
LBN Legal business name | Stanley, Laurel Virginia |
Credentials | Licensed Clinical Social Worker (LCSW) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 19th, 2005 |
Last updated | Aug 2nd, 2010 - about 14 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 | 1760474324 | NPPES |
New York | Other | 00025419101 | UNIVERA |
New York | Other | 00525904001 | UNIVERA |
New York | Other | 6290304 | UNIVERA |
New York | Other | 230175000 | UNIVERA |
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