Gay, Jeremy Glenn

Gay, Jeremy Glenn is an sole proprietor health care provider with primary practice located at 811 Erika Ln , Grovetown GA 30813-8303. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Forensic, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Gay, Jeremy Glenn can be contacted via phone (706) 836-3983.

Contact Information

Primary practice address
811 Erika Ln Grovetown GA 30813-8303
Phone: (706) 836-3983
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Forensic 103TF0200X PSY004116 Georgia
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY004116 Georgia

Profile Details

NPI number 1366035693
LBN Legal business name Gay, Jeremy Glenn
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 17th, 2021
Last updated Feb 17th, 2021 - 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.

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