Wasik-Petersen, Carolyn

Wasik-Petersen, Carolyn is an individual health care provider with primary practice located at 19 North St , Middle Island NY 11953-1757. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Wasik-Petersen, Carolyn can be contacted via phone (516) 380-0005.

Contact Information

Primary practice address
19 North St Middle Island NY 11953-1757
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X PR046337-1 New York

Profile Details

NPI number 1619366085
LBN Legal business name Wasik-Petersen, Carolyn
Credentials LCSW-R
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2015
Last updated Jan 22nd, 2015 - about 9 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.

Request for update

Popular Providers