Boudreaux, Jean A
Boudreaux, Jean A is an individual health care provider with primary practice located at 969 Lakeland Dr , Jackson MS 39216-4606. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Boudreaux, Jean A can be contacted via phone (601) 200-3110.Contact Information
Primary practice address
969 Lakeland Dr
Jackson MS 39216-4606
Phone: (601) 200-3110
Fax: (601) 362-6170
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 47824 | Mississippi |
Profile Details
| NPI number | 1518128578 |
|---|---|
| LBN Legal business name | Boudreaux, Jean A |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 23rd, 2008 |
| Last updated | Jun 23rd, 2008 - about 18 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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