Vedder, Phyllis

Vedder, Phyllis is an sole proprietor health care provider with primary practice located at 89 Daly Road , East Northport NY 11731-6307. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Vedder, Phyllis can be contacted via phone (631) 462-5987.

Contact Information

Primary practice address
89 Daly Road East Northport NY 11731-6307
Phone: (631) 462-5987
Fax: (631) 462-5987
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X R0207051 New York

Profile Details

NPI number 1659420826
LBN Legal business name Vedder, Phyllis
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 9th, 2007
Last updated Jan 3rd, 2011 - 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.

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