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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 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 1487798724 NPPES
Florida MEDICAID 811863900

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