Kelderman, Jill
Kelderman, Jill is an sole proprietor health care provider with primary practice located at 500 Village Square Crossing Suite 103, Palm Beach Gardens FL 33410. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as her primary health care specialty. Kelderman, Jill can be contacted via phone (561) 688-9795.Contact Information
Primary practice address
500 Village Square Crossing Suite 103
Palm Beach Gardens FL 33410
Phone: (561) 688-9795
Fax: (561) 688-9796
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 7965 | Florida |
Profile Details
| NPI number | 1184815508 |
|---|---|
| LBN Legal business name | Kelderman, Jill |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 9th, 2007 |
| Last updated | Oct 4th, 2011 - about 13 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 | 1184815508 | NPPES |
| Florida | Other | 7965 | LICENSE |
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