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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 last year

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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