Zeccola, Jaclyn
Zeccola, Jaclyn is an sole proprietor health care provider with primary practice located at 11712 Moorpark St Ste 204B , Studio City CA 91604-2158. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Zeccola, Jaclyn can be contacted via phone (323) 636-1632.Contact Information
Primary practice address
11712 Moorpark St Ste 204B
Studio City CA 91604-2158
Phone: (323) 636-1632
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PSB37634 | California |
Profile Details
NPI number | 1093259715 |
---|---|
LBN Legal business name | Zeccola, Jaclyn |
Credentials | PHD |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 14th, 2016 |
Last updated | Jun 18th, 2020 - about 4 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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