Dyl, Jennifer L

Dyl, Jennifer L is an sole proprietor health care provider with primary practice located at 31 Smith Ave Suite 2, Greenville RI 02828-1730. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Dyl, Jennifer L can be contacted via phone (401) 339-1816.

Contact Information

Primary practice address
31 Smith Ave Suite 2 Greenville RI 02828-1730
Fax: (401) 830-5729
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PS00725 Rhode Island

Profile Details

NPI number 1114964350
LBN Legal business name Dyl, Jennifer L
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 31st, 2006
Last updated Jun 15th, 2010 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1114964350 NPPES
Rhode Island Other 30156-5 BLUE CROSS
Rhode Island Other 408421 BLUE CROSS

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