Cornell, Clancey Jo

Cornell, Clancey Jo is an individual health care provider with primary practice located at 923 S Catalina Ave Unit B , Redondo Beach CA 90277-4718. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Cornell, Clancey Jo can be contacted via phone (310) 980-2411.

Contact Information

Primary practice address
923 S Catalina Ave Unit B Redondo Beach CA 90277-4718
Phone: (310) 980-2411
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1568076974
LBN Legal business name Cornell, Clancey Jo
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2020
Last updated Jul 22nd, 2022 - about 3 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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