Neeson, Jody

Neeson, Jody is an individual health care provider with primary practice located at 812 Garfield Dr , Petaluma CA 94954-4634. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Neeson, Jody can be contacted via phone (707) 481-8119.

Contact Information

Primary practice address
812 Garfield Dr Petaluma CA 94954-4634
Phone: (707) 481-8119
Fax: (415) 276-4536
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 101YS0200X

Profile Details

NPI number 1154713691
LBN Legal business name Neeson, Jody
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2015
Last updated Feb 20th, 2015 - about 9 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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