Davidson, Jenelle Hope

Davidson, Jenelle Hope is an individual health care provider with primary practice located at 328 Main St , Southbridge MA 01550-3794. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Davidson, Jenelle Hope can be contacted via phone (508) 765-9101.

Contact Information

Primary practice address
328 Main St Southbridge MA 01550-3794
Phone: (508) 765-9101
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1144730276
LBN Legal business name Davidson, Jenelle Hope
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2017
Last updated Jun 21st, 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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