Cleveland, Judith Dianne

Cleveland, Judith Dianne is an sole proprietor health care provider with primary practice located at 259 Highway 74 N Suite One, Peachtree City GA 30269-3561. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Cleveland, Judith Dianne can be contacted via phone (770) 630-0071.

Contact Information

Primary practice address
259 Highway 74 N Suite One Peachtree City GA 30269-3561
Fax: (770) 599-3033
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 000129 Georgia

Profile Details

NPI number 1629397492
LBN Legal business name Cleveland, Judith Dianne
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 19th, 2010
Last updated May 19th, 2010 - about 14 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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