Brommelhoff, Jessica A.

Brommelhoff, Jessica A. is an individual health care provider with primary practice located at 622 Jeanette Ln , Santa Ana CA 92705-6020. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is her primary health care specialty. Brommelhoff, Jessica A. can be contacted via phone (203) 675-2597.

Contact Information

Primary practice address
622 Jeanette Ln Santa Ana CA 92705-6020
Phone: (203) 675-2597
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X PSY25383 California
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY25383 California

Profile Details

NPI number 1871982314
LBN Legal business name Brommelhoff, Jessica A.
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2015
Last updated Jan 21st, 2016 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1871982314 NPPES
California Other CB232248 MEDICARE ID

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