Wade, Jeanine
Wade, Jeanine is an sole proprietor health care provider with primary practice located at 400 W Main Ave Suite 211, Round Rock TX 78664-5808. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Wade, Jeanine can be contacted via phone (512) 860-2963.Contact Information
Primary practice address
400 W Main Ave Suite 211
Round Rock TX 78664-5808
Phone: (512) 860-2963
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 24694 | Texas |
Profile Details
| NPI number | 1164573697 |
|---|---|
| LBN Legal business name | Wade, Jeanine |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 12th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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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