Reynolds, Jefferey David

Reynolds, Jefferey David is an sole proprietor health care provider with primary practice located at 1041 45Th St , West Palm Beach FL 33407-2402. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Reynolds, Jefferey David can be contacted via phone (561) 383-8000.

Contact Information

Primary practice address
1041 45Th St West Palm Beach FL 33407-2402
Phone: (561) 383-8000
Fax: (561) 514-1275
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW8473 Florida

Profile Details

NPI number 1962565812
LBN Legal business name Reynolds, Jefferey David
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 19th, 2006
Last updated Jul 8th, 2007 - about 18 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 1962565812 NPPES
Florida Other SW8473 STATE LICENSED NUMBER

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