Devaris, Jeannette M
Devaris, Jeannette M is an sole proprietor health care provider with primary practice located at 189 Summit Ave , Summit NJ 07901-2967. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Devaris, Jeannette M can be contacted via phone (908) 522-0800.Contact Information
Primary practice address
189 Summit Ave
Summit NJ 07901-2967
Phone: (908) 522-0800
Fax: (908) 517-9325
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 35S100254300 | New Jersey |
Profile Details
| NPI number | 1568481745 |
|---|---|
| LBN Legal business name | Devaris, Jeannette M |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 19th, 2006 |
| Last updated | Sep 28th, 2010 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568481745 | NPPES |
| New Jersey | Other | 117846 | MEDICARE PTAN |
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