Kerry, Jean M

Kerry, Jean M is an sole proprietor health care provider with primary practice located at 1 W Sample Rd Suite 205, Pompano Beach FL 33064-3547. She recently has only one registered license in Behavioral Health & Social Service Providers / Cognitive & Behavioral, which is considered as her primary health care specialty. Kerry, Jean M can be contacted via phone (954) 786-2255.

Contact Information

Primary practice address
1 W Sample Rd Suite 205 Pompano Beach FL 33064-3547
Phone: (954) 786-2255
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X PY0005577 Florida

Profile Details

NPI number 1477763738
LBN Legal business name Kerry, Jean M
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 23rd, 2007
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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