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
Phone: (954) 345-2292
Fax: (954) 341-8101
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114066461 | NPPES |
| Florida | Other | 54571 | BC BS NUMBER |
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