Wladyka Kelton, Patricia
Wladyka Kelton, Patricia is an individual health care provider with primary practice located at 1005 Glen Cove Ave , Glen Head NY 11545-1585. 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. Wladyka Kelton, Patricia can be contacted via phone (516) 676-4348.Contact Information
Primary practice address
1005 Glen Cove Ave
Glen Head NY 11545-1585
Phone: (516) 676-4348
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | R023792 | New York |
Behavioral Health & Social Service Providers / School | 1041S0200X | New York |
Profile Details
NPI number | 1831275163 |
---|---|
LBN Legal business name | Wladyka Kelton, Patricia |
Credentials | MSW LCSW |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 30th, 2006 |
Last updated | Oct 16th, 2009 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1831275163 | NPPES |
Other | 6262654 | UNITED BEHAVIORAL HEALTH |
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