Elliott, Jody
Elliott, Jody is an individual health care provider with primary practice located at 545 Westminster St , Fitchburg MA 01420-4727. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Elliott, Jody can be contacted via phone (978) 345-0685.Contact Information
Primary practice address
545 Westminster St
Fitchburg MA 01420-4727
Phone: (978) 345-0685
Fax: (978) 342-8495
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 7625 | Massachusetts |
Profile Details
| NPI number | 1316231632 |
|---|---|
| LBN Legal business name | Elliott, Jody |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 3rd, 2011 |
| Last updated | Jun 3rd, 2011 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316231632 | NPPES |
| Massachusetts | Other | 7625 | LIC. MENTAL HEALTH COUNSELOR |
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