Dievendorf, Jean Elyse
Dievendorf, Jean Elyse is an individual health care provider with primary practice located at 6050 Babcock St Se Ste 32 , Palm Bay FL 32909-4205. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Dievendorf, Jean Elyse can be contacted via phone (321) 684-8265.Contact Information
Primary practice address
6050 Babcock St Se Ste 32
Palm Bay FL 32909-4205
Phone: (321) 684-8265
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | SW16874 | Florida |
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | SW16874 | Florida |
Behavioral Health & Social Service Providers / Social Worker | 104100000X |
Profile Details
NPI number | 1184173981 |
---|---|
LBN Legal business name | Dievendorf, Jean Elyse |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 22nd, 2016 |
Last updated | Feb 14th, 2024 - about 7 months 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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