Whitehead, Simone Maria
Whitehead, Simone Maria is an sole proprietor health care provider with primary practice located at 143 N Mccormick St Ste 103 , Prescott AZ 86301-2725. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Whitehead, Simone Maria can be contacted via phone (928) 778-5445.Contact Information
Primary practice address
143 N Mccormick St Ste 103
Prescott AZ 86301-2725
Phone: (928) 778-5445
Fax: (928) 778-3464
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 1350 | Arizona |
Profile Details
| NPI number | 1740357144 |
|---|---|
| LBN Legal business name | Whitehead, Simone Maria |
| Credentials | Master of Arts (MA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 29th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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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