Wilbur-Harris, Penny

Wilbur-Harris, Penny is an sole proprietor health care provider with primary practice located at 15 Brookfield Ln , South Setauket NY 11720-1444. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Wilbur-Harris, Penny can be contacted via phone (631) 553-8469.

Contact Information

Primary practice address
15 Brookfield Ln South Setauket NY 11720-1444
Phone: (631) 553-8469
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X R027333 New York
Behavioral Health & Social Service Providers / School 1041S0200X New York

Profile Details

NPI number 1619077153
LBN Legal business name Wilbur-Harris, Penny
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 24th, 2006
Last updated Jul 26th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1619077153 NPPES
New York Other 145126 VALUE OPTIONS
New York Other IP322152 VALUE OPTIONS
New York Other 11238224 VALUE OPTIONS
New York Other 4281184 VALUE OPTIONS
New York Other P75660 VALUE OPTIONS

Popular Providers