Jaundoo, Stacey B
Jaundoo, Stacey B is an individual health care provider with primary practice located at 4401 E West Hwy Ste 504 , Bethesda MD 20814-4523. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Jaundoo, Stacey B can be contacted via phone (980) 226-7522.Contact Information
Primary practice address
4401 E West Hwy Ste 504
Bethesda MD 20814-4523
Phone: (980) 226-7522
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Professional | 101YP2500X | 6831 | North Carolina |
Behavioral Health & Social Service Providers / Professional | 101YP2500X | LC9276 | Maryland |
Profile Details
NPI number | 1740468461 |
---|---|
LBN Legal business name | Jaundoo, Stacey B |
Credentials | LCPC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 5th, 2008 |
Last updated | Jan 2nd, 2020 - about 5 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1740468461 | NPPES |
North Carolina | MEDICAID | 6103824 |
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