Phelps, Jerold Scott

Phelps, Jerold Scott is an individual health care provider with primary practice located at 9500 Gilman Drive 0304 , La Jolla CA 92093-0304. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Phelps, Jerold Scott can be contacted via phone (858) 822-2614.

Contact Information

Primary practice address
9500 Gilman Drive 0304 La Jolla CA 92093-0304
Fax: (858) 534-2628
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY15347 California
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY15347 California

Profile Details

NPI number 1215102264
LBN Legal business name Phelps, Jerold Scott
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 29th, 2008
Last updated Apr 29th, 2008 - about 16 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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