Reardon, Jennifer Theo

Reardon, Jennifer Theo is an sole proprietor health care provider with primary practice located at 191 Broadway , Amityville NY 11701-2790. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Reardon, Jennifer Theo can be contacted via phone (631) 264-0058.

Contact Information

Primary practice address
191 Broadway Amityville NY 11701-2790
Phone: (631) 264-0058
Fax: (631) 264-0056
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 081336 New York
Behavioral Health & Social Service Providers / Clinical 1041C0700X 072012 New York

Profile Details

NPI number 1346380276
LBN Legal business name Reardon, Jennifer Theo
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 8th, 2007
Last updated Oct 29th, 2015 - about 10 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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