Pennington, Lydia Keller

Pennington, Lydia Keller is an individual health care provider with primary practice located at 1135 Beach Blvd , Jacksonville Beach FL 32250-3445. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Pennington, Lydia Keller can be contacted via phone (904) 755-0646.

Contact Information

Primary practice address
1135 Beach Blvd Jacksonville Beach FL 32250-3445
Phone: (904) 755-0646
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1457126302
LBN Legal business name Pennington, Lydia Keller
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2023
Last updated Nov 21st, 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.

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