Jolly, Jacqueline
Jolly, Jacqueline is an sole proprietor health care provider with primary practice located at 3642 Avalon Rd , Shaker Heights OH 44120-5207. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Jolly, Jacqueline can be contacted via phone (216) 561-0190.Contact Information
Primary practice address
3642 Avalon Rd
Shaker Heights OH 44120-5207
Phone: (216) 561-0190
Fax: (216) 321-3408
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 5838 | Ohio |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 18845 | California |
Profile Details
| NPI number | 1942317185 |
|---|---|
| LBN Legal business name | Jolly, Jacqueline |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 24th, 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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