Eddy, Dean Patrick

Eddy, Dean Patrick is an sole proprietor health care provider with primary practice located at 1009 N Georgetown St , Round Rock TX 78664-3289. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Eddy, Dean Patrick can be contacted via phone (512) 255-1720.

Contact Information

Primary practice address
1009 N Georgetown St Round Rock TX 78664-3289
Fax: (512) 244-8371
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 60595 Texas

Profile Details

NPI number 1043436959
LBN Legal business name Eddy, Dean Patrick
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 18th, 2007
Last updated Jul 8th, 2007 - about 18 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 1043436959 NPPES
Texas MEDICAID PENDING

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