Blythe, Jaclyn
Blythe, Jaclyn is an individual health care provider with primary practice located at 5335 Craner Ave , North Hollywood CA 91601-3313. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Blythe, Jaclyn can be contacted via phone (203) 243-9400.Contact Information
Primary practice address
5335 Craner Ave
North Hollywood CA 91601-3313
Phone: (203) 243-9400
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | CI45401224 | California |
Profile Details
| NPI number | 1306634928 |
|---|---|
| LBN Legal business name | Blythe, Jaclyn |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 25th, 2025 |
| Last updated | Apr 25th, 2025 - about last year |
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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