Bercuson, Jaime
Bercuson, Jaime is an sole proprietor health care provider with primary practice located at 1389 Center Dr Ste 200 , Park City UT 84098-7660. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bercuson, Jaime can be contacted via phone (727) 451-9223.Contact Information
Primary practice address
1389 Center Dr Ste 200
Park City UT 84098-7660
Phone: (727) 451-9223
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY26093 | California |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PY8969 | Florida |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 10389140-2501 | Utah |
Profile Details
| NPI number | 1932332012 |
|---|---|
| LBN Legal business name | Bercuson, Jaime |
| Credentials | M.A., PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 24th, 2009 |
| Last updated | Nov 10th, 2020 - about 6 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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