Keith, Jessica Anne

Keith, Jessica Anne is an individual health care provider with primary practice located at 10000 Bay Pines Boulevard Bay Pines Va Healthcare System Mh&Bss, Bay Pines FL 33744. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Keith, Jessica Anne can be contacted via phone (727) 398-6661.

Contact Information

Primary practice address
10000 Bay Pines Boulevard Bay Pines Va Healthcare System Mh&Bss Bay Pines FL 33744
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PRE-LICENSURE Florida

Profile Details

NPI number 1689907032
LBN Legal business name Keith, Jessica Anne
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2009
Last updated Sep 16th, 2009 - about 15 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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