Dereu, Shelley

Dereu, Shelley is an sole proprietor health care provider with primary practice located at 4161 Tamiami Trl Suite 401, Port Charlotte FL 33952-9204. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Dereu, Shelley can be contacted via phone (239) 980-4156.

Contact Information

Primary practice address
4161 Tamiami Trl Suite 401 Port Charlotte FL 33952-9204
Phone: (239) 980-4156
Fax: (941) 623-1215
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW 7311 Florida

Profile Details

NPI number 1982932141
LBN Legal business name Dereu, Shelley
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 30th, 2009
Last updated Nov 30th, 2009 - about 15 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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