Pederson, Jean Anita

Pederson, Jean Anita is an sole proprietor health care provider with primary practice located at 6345 Balboa Blvd Suite 212, Encino CA 91316-1517. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Pederson, Jean Anita can be contacted via phone (818) 881-1928.

Contact Information

Primary practice address
6345 Balboa Blvd Suite 212 Encino CA 91316-1517
Phone: (818) 881-1928
Fax: (818) 541-9816
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY11446 California

Profile Details

NPI number 1639236391
LBN Legal business name Pederson, Jean Anita
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 2nd, 2007
Last updated Jul 6th, 2010 - about 14 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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