Dibernardino-Doeden, Julie A
Dibernardino-Doeden, Julie A is an individual health care provider with primary practice located at 8600 N State Route 91 , Peoria IL 61615-9541. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Dibernardino-Doeden, Julie A can be contacted via phone (309) 683-5457.Contact Information
Primary practice address
8600 N State Route 91
Peoria IL 61615-9541
Phone: (309) 683-5457
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 149008750 | Illinois |
Profile Details
| NPI number | 1316901168 |
|---|---|
| LBN Legal business name | Dibernardino-Doeden, Julie A |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 17th, 2006 |
| Last updated | May 21st, 2008 - 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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