Jasnos, Theodore

Jasnos, Theodore is an sole proprietor health care provider with primary practice located at 31 Lake St North Central Human Services, Gardner MA 01440-3879. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Psychoanalysis. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Jasnos, Theodore can be contacted via phone (978) 632-9400.

Contact Information

Primary practice address
31 Lake St North Central Human Services Gardner MA 01440-3879
Phone: (978) 632-9400
Fax: (978) 632-6425
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 1805 Massachusetts
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1805 Massachusetts
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 1805 Massachusetts
Behavioral Health & Social Service Providers / Psychoanalysis 103TP0814X 1805 Massachusetts

Profile Details

NPI number 1336203652
LBN Legal business name Jasnos, Theodore
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 21st, 2006
Last updated Jul 8th, 2007 - about 17 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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