South, Jennifer L

South, Jennifer L is an individual health care provider with primary practice located at 110 Campus Dr , Bradford PA 16701-1982. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. South, Jennifer L can be contacted via phone (814) 362-6535.

Contact Information

Primary practice address
110 Campus Dr Bradford PA 16701-1982
Phone: (814) 362-6535
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X PC004917 Pennsylvania
Behavioral Health & Social Service Providers / Professional 101YP2500X 25309452 Pennsylvania

Profile Details

NPI number 1114429131
LBN Legal business name South, Jennifer L
Credentials PC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2018
Last updated Apr 25th, 2018 - about 6 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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