Dreeben, Jane
Dreeben, Jane is an sole proprietor health care provider with primary practice located at 15 Church St. , Vineyard Haven MA 02568. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Dreeben, Jane can be contacted via phone (508) 693-5523.Contact Information
Primary practice address
15 Church St.
Vineyard Haven MA 02568
Phone: (508) 693-5523
Fax: (508) 696-8619
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 6648 | Massachusetts |
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 103TA0400X | 415 | Massachusetts |
Profile Details
NPI number | 1265500508 |
---|---|
LBN Legal business name | Dreeben, Jane |
Credentials | PH.D., L.A.D.C. I |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 4th, 2006 |
Last updated | Jul 8th, 2007 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1265500508 | NPPES |
Massachusetts | Other | W05885 | BLUE CROSS BLUE SHIELD |
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