Dorvil, Cledicianne

Dorvil, Cledicianne is an individual health care provider with primary practice located at 904 Riverside Ave , Trenton NJ 08618-5318. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical Child & Adolescent is her primary health care specialty. Dorvil, Cledicianne can be contacted via phone (609) 393-1166.

Contact Information

Primary practice address
904 Riverside Ave Trenton NJ 08618-5318
Phone: (609) 393-1166
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X 692206 New Jersey
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PS017367 Pennsylvania
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 35SI00522100 New Jersey

Profile Details

NPI number 1952732026
LBN Legal business name Dorvil, Cledicianne
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 27th, 2013
Last updated Feb 8th, 2014 - about 11 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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