Ciavarella, Jessica D.

Ciavarella, Jessica D. is an individual health care provider with primary practice located at 9000 Sheridan St Suite 121, Pembroke Pines FL 33024-8802. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Ciavarella, Jessica D. can be contacted via phone (954) 552-7510.

Contact Information

Primary practice address
9000 Sheridan St Suite 121 Pembroke Pines FL 33024-8802
Phone: (954) 552-7510
Fax: (954) 212-6100
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY 7107 Florida

Profile Details

NPI number 1528090354
LBN Legal business name Ciavarella, Jessica D.
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2006
Last updated Oct 22nd, 2013 - about 12 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 1528090354 NPPES
Florida Other 12378663 MULTIPLAN
Florida Other 161720383 MULTIPLAN
Florida Other 7670760 MULTIPLAN
Florida Other 75064 MULTIPLAN

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