Shelley, Rachel Dawne
Shelley, Rachel Dawne is an individual health care provider with primary practice located at 346 Nw Colquitt Way , Lake City FL 32055-4854. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Shelley, Rachel Dawne can be contacted via phone (386) 752-6217.Contact Information
Primary practice address
346 Nw Colquitt Way
Lake City FL 32055-4854
Phone: (386) 752-6217
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | Florida |
Profile Details
| NPI number | 1487798724 |
|---|---|
| LBN Legal business name | Shelley, Rachel Dawne |
| Credentials | B.S., ITDS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 19th, 2007 |
| Last updated | Apr 23rd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487798724 | NPPES |
| Florida | MEDICAID | 811863900 |
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