Head, Jacqueline J

Head, Jacqueline J is an sole proprietor health care provider with primary practice located at 22344 Sw Main St , Sherwood OR 97140-9416. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Head, Jacqueline J can be contacted via phone (503) 625-2768.

Contact Information

Primary practice address
22344 Sw Main St Sherwood OR 97140-9416
Fax: (503) 625-3768
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1328 Oregon

Profile Details

NPI number 1639153125
LBN Legal business name Head, Jacqueline J
Credentials PSY.D. PC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 30th, 2005
Last updated Aug 16th, 2019 - about 6 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.

Request for update

Popular Providers