Mullaney, Jacqueline S
Mullaney, Jacqueline S is an sole proprietor health care provider with primary practice located at Preferred Behavioral Health Wrap Around Program 999 Airport Road, Lakewood NJ 08701. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Mullaney, Jacqueline S can be contacted via phone (732) 367-1710.Contact Information
Primary practice address
Preferred Behavioral Health Wrap Around Program 999 Airport Road
Lakewood NJ 08701
Phone: (732) 367-1710
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 44SL05420900 | New Jersey |
Profile Details
| NPI number | 1730232950 |
|---|---|
| LBN Legal business name | Mullaney, Jacqueline S |
| Credentials | LSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 19th, 2007 |
| Last updated | Jul 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730232950 | NPPES |
| New Jersey | MEDICAID | 0018872 |
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