Pena Morales, Jessica J
Pena Morales, Jessica J is an sole proprietor health care provider with primary practice located at 26829 Tanic Dr Ste 101 , Wesley Chapel FL 33544-4612. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Pena Morales, Jessica J can be contacted via phone (813) 219-0152.Contact Information
Primary practice address
26829 Tanic Dr Ste 101
Wesley Chapel FL 33544-4612
Phone: (813) 219-0152
Fax: (873) 200-3500
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PY11065 | Florida |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 3278 | Puerto Rico |
Profile Details
| NPI number | 1639318819 |
|---|---|
| LBN Legal business name | Pena Morales, Jessica J |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 12th, 2009 |
| Last updated | Jan 4th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639318819 | NPPES |
| Other | CY198A | PTAN |
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