Priluck, Jacob Levi

Priluck, Jacob Levi is an sole proprietor health care provider with primary practice located at 6120 Brandon Ave , Springfield VA 22150-2522. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Neuropsychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Priluck, Jacob Levi can be contacted via phone (917) 783-0634.

Contact Information

Primary practice address
6120 Brandon Ave Springfield VA 22150-2522
Phone: (917) 783-0634
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 0810006056 Virginia
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 0810006056 Virginia

Profile Details

NPI number 1992289425
LBN Legal business name Priluck, Jacob Levi
Credentials PSYD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 20th, 2018
Last updated Jan 19th, 2023 - about 3 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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