Wise, Jillian

Wise, Jillian is an individual health care provider with primary practice located at 880 6Th St S Suite 420, St Petersburg FL 33701-4827. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as her primary health care specialty. Wise, Jillian can be contacted via phone (727) 767-8477.

Contact Information

Primary practice address
880 6Th St S Suite 420 St Petersburg FL 33701-4827
Phone: (727) 767-8477
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X

Profile Details

NPI number 1740738301
LBN Legal business name Wise, Jillian
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2016
Last updated Sep 13th, 2016 - about 8 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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