Crippen, Beverly Jean
Crippen, Beverly Jean is an sole proprietor health care provider with primary practice located at 425 W Bonita Ave Ste 103 , San Dimas CA 91773-2543. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Crippen, Beverly Jean can be contacted via phone (909) 456-0460.Contact Information
Primary practice address
425 W Bonita Ave Ste 103
San Dimas CA 91773-2543
Phone: (909) 456-0460
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LCS23005 | California |
Profile Details
NPI number | 1497900385 |
---|---|
LBN Legal business name | Crippen, Beverly Jean |
Credentials | Licensed Clinical Social Worker (LCSW) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Nov 19th, 2008 |
Last updated | Feb 8th, 2019 - about 5 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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