Elliott, Jeffrey Bruce

Elliott, Jeffrey Bruce is an sole proprietor health care provider with primary practice located at 2178 Johnson Ave , San Luis Obispo CA 93401-4535. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Elliott, Jeffrey Bruce can be contacted via phone (805) 781-5525.

Contact Information

Primary practice address
2178 Johnson Ave San Luis Obispo CA 93401-4535
Phone: (805) 781-5525
Fax: (805) 781-1232
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY 17917 California

Profile Details

NPI number 1114919263
LBN Legal business name Elliott, Jeffrey Bruce
Credentials PSYD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 16th, 2005
Last updated Jul 8th, 2007 - about 19 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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