Degeorge, Joseph

Degeorge, Joseph is an individual health care provider with primary practice located at 2500 Quantum Lakes Dr Suite 203, Boynton Beach FL 33426-8324. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Degeorge, Joseph can be contacted via phone (561) 738-5000.

Contact Information

Primary practice address
2500 Quantum Lakes Dr Suite 203 Boynton Beach FL 33426-8324
Phone: (561) 738-5000
Fax: (561) 734-4804
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW638 Florida
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MT 574 Florida

Profile Details

NPI number 1669584744
LBN Legal business name Degeorge, Joseph
Credentials PH.D., LCSW
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Jul 9th, 2007 - about 17 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 1669584744 NPPES
Florida Other P00302931 RAILROAD MEDICARE

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