Abanishe, Dahomey

Abanishe, Dahomey is an sole proprietor health care provider with primary practice located at 1600 Sw Archer Rd , Gainesville FL 32610-6036. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Abanishe, Dahomey can be contacted via phone (352) 265-0294.

Contact Information

Primary practice address
1600 Sw Archer Rd Gainesville FL 32610-6036
Fax: (352) 265-0096
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PY8868 Florida

Profile Details

NPI number 1629373519
LBN Legal business name Abanishe, Dahomey
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 24th, 2011
Last updated Jan 6th, 2023 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1629373519 NPPES
Florida MEDICAID 105454700

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