Pepper, Jacqueline B

Pepper, Jacqueline B is an sole proprietor health care provider with primary practice located at 1515 N University Dr Suite 202, Coral Springs FL 33071-6096. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Pepper, Jacqueline B can be contacted via phone (954) 345-2292.

Contact Information

Primary practice address
1515 N University Dr Suite 202 Coral Springs FL 33071-6096
Fax: (954) 341-8101
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY6102 Florida

Profile Details

NPI number 1114066461
LBN Legal business name Pepper, Jacqueline B
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 5th, 2007
Last updated Sep 13th, 2016 - about 8 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 1114066461 NPPES
Florida Other 54571 BC BS NUMBER

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