Streett, Robert M

Streett, Robert M is an individual health care provider with primary practice located at 706 S Main St Suite 1, Mountain Home AR 72653-4417. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Streett, Robert M can be contacted via phone (870) 425-5644.

Contact Information

Primary practice address
706 S Main St Suite 1 Mountain Home AR 72653-4417
Phone: (870) 425-5644
Fax: (870) 424-2201
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 1768C Arkansas

Profile Details

NPI number 1780765768
LBN Legal business name Streett, Robert M
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2006
Last updated Jan 5th, 2010 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1780765768 NPPES
Other 55048 MEDICARE ID NUMBER

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