Newburge, Idelle

Newburge, Idelle is an sole proprietor health care provider with primary practice located at 8030 Peters Rd Suite D106, Plantation FL 33324-4038. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Newburge, Idelle can be contacted via phone (954) 475-9503.

Contact Information

Primary practice address
8030 Peters Rd Suite D106 Plantation FL 33324-4038
Phone: (954) 475-9503
Fax: (954) 476-2369
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH540 Florida

Profile Details

NPI number 1033268271
LBN Legal business name Newburge, Idelle
Credentials LMHC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 9th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033268271 NPPES
Florida Other Z2359 BLUE CROSS BLUE SHIELD FL

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