Feldbau, Jeryl Susan
Feldbau, Jeryl Susan is an individual health care provider with primary practice located at 6 Mcculloch Dr , Dix Hills NY 11746-8304. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Feldbau, Jeryl Susan can be contacted via phone (631) 462-0782.Contact Information
Primary practice address
6 Mcculloch Dr
Dix Hills NY 11746-8304
Phone: (631) 462-0782
Fax: (631) 499-6240
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | R-O44877 | New York |
Profile Details
| NPI number | 1457392821 |
|---|---|
| LBN Legal business name | Feldbau, Jeryl Susan |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 9th, 2006 |
| Last updated | Jul 21st, 2022 - about 3 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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