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
Phone: (503) 625-2768
Fax: (503) 625-3768
Website:
Health care specialties
| Specialty | Code | License # | 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.
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