Young, Jelyn Bernardo
Young, Jelyn Bernardo is an sole proprietor health care provider with primary practice located at 17734 Hunting Bow Cir Ste 101 , Lutz FL 33558-5383. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Young, Jelyn Bernardo can be contacted via phone (619) 920-4629.Contact Information
Primary practice address
17734 Hunting Bow Cir Ste 101
Lutz FL 33558-5383
Phone: (619) 920-4629
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | ||
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PY10002 | Florida |
Profile Details
NPI number | 1780970780 |
---|---|
LBN Legal business name | Young, Jelyn Bernardo |
Credentials | PH.D. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 28th, 2011 |
Last updated | Jul 21st, 2022 - about 2 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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