Scuderi, Debra Lynn

Scuderi, Debra Lynn is an individual health care provider with primary practice located at 2222 Colonial Rd Ste 100 , Fort Pierce FL 34950-5309. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Scuderi, Debra Lynn can be contacted via phone (772) 489-4726.

Contact Information

Primary practice address
2222 Colonial Rd Ste 100 Fort Pierce FL 34950-5309
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1407904279
LBN Legal business name Scuderi, Debra Lynn
Credentials M.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2007
Last updated Nov 15th, 2021 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1407904279 NPPES
Florida MEDICAID 760742300

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