Pedeville, Jessica Lynn
Pedeville, Jessica Lynn is an sole proprietor health care provider with primary practice located at 1000 N 90Th St Suite 200, Omaha NE 68114-2764. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as her primary health care specialty. Pedeville, Jessica Lynn can be contacted via phone (402) 955-3900.Contact Information
Primary practice address
1000 N 90Th St Suite 200
Omaha NE 68114-2764
Phone: (402) 955-3900
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X |
Profile Details
| NPI number | 1609030501 |
|---|---|
| LBN Legal business name | Pedeville, Jessica Lynn |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 10th, 2008 |
| Last updated | Dec 3rd, 2009 - 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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