Neighbors, Jessica Shakespeare
Neighbors, Jessica Shakespeare is an sole proprietor health care provider with primary practice located at 1025 S Bridgeway Pl Ste 280 , Eagle ID 83616-6834. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Neighbors, Jessica Shakespeare can be contacted via phone (208) 412-7740.Contact Information
Primary practice address
1025 S Bridgeway Pl Ste 280
Eagle ID 83616-6834
Phone: (208) 412-7740
Fax: (208) 853-1318
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 28825 | Idaho |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY203874 | Idaho |
Profile Details
| NPI number | 1679723282 |
|---|---|
| LBN Legal business name | Neighbors, Jessica Shakespeare |
| Credentials | PSYD, LCSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 19th, 2008 |
| Last updated | Jun 28th, 2024 - about 6 months 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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