Beckwith, Jerlaine Cassandra

Beckwith, Jerlaine Cassandra is an sole proprietor health care provider with primary practice located at 13800 Heacock St Ste C236 , Moreno Valley CA 92553-3364. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner is her primary health care specialty. Beckwith, Jerlaine Cassandra can be contacted via phone (951) 653-0819.

Contact Information

Primary practice address
13800 Heacock St Ste C236 Moreno Valley CA 92553-3364
Phone: (951) 653-0819
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X

Profile Details

NPI number 1396928610
LBN Legal business name Beckwith, Jerlaine Cassandra
Credentials Bachelor of Arts (BA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 10th, 2007
Last updated Feb 9th, 2010 - 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.

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