Engelhardt, John Thomas Harlow
Engelhardt, John Thomas Harlow is an sole proprietor health care provider with primary practice located at 330 6Th St Ste 110 , Redlands CA 92374-3312. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Engelhardt, John Thomas Harlow can be contacted via phone (909) 307-1204.Contact Information
Primary practice address
330 6Th St Ste 110
Redlands CA 92374-3312
Phone: (909) 307-1204
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 31436 | California |
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 1390 | Oregon |
Profile Details
NPI number | 1376524645 |
---|---|
LBN Legal business name | Engelhardt, John Thomas Harlow |
Credentials | PSY.D. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Nov 14th, 2005 |
Last updated | Jan 28th, 2020 - about 4 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 | 1376524645 | NPPES |
Oregon | Other | 1390 | LICENSE NUMBER (PSYCHOLOG |
Oregon | Other | 31436 | LICENSE NUMBER (PSYCHOLOG |
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