Tiedeman, Jonathan Alvin

Tiedeman, Jonathan Alvin is an individual health care provider with primary practice located at 100 Simoni Ranch Rd , Oakley CA 94561-2787. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. Tiedeman, Jonathan Alvin can be contacted via phone (925) 625-7070.

Contact Information

Primary practice address
100 Simoni Ranch Rd Oakley CA 94561-2787
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X

Profile Details

NPI number 1528545357
LBN Legal business name Tiedeman, Jonathan Alvin
Credentials SCHOOL PSYCHOLOGIST
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2018
Last updated Jul 24th, 2018 - about 7 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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