Medvene, Jaime Elizabeth
Medvene, Jaime Elizabeth is an sole proprietor health care provider with primary practice located at 17337 Ventura Blvd Suite 200, Encino CA 91316-3903. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Medvene, Jaime Elizabeth can be contacted via phone (818) 981-7845.Contact Information
Primary practice address
17337 Ventura Blvd Suite 200
Encino CA 91316-3903
Phone: (818) 981-7845
Fax: (818) 981-7849
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY13740 | California |
Profile Details
| NPI number | 1265478754 |
|---|---|
| LBN Legal business name | Medvene, Jaime Elizabeth |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 22nd, 2006 |
| Last updated | Mar 27th, 2020 - about 4 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 | 1265478754 | NPPES |
| California | MEDICAID | PSY137401 |
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