Ewen, Ida Marie

Ewen, Ida Marie is an sole proprietor health care provider with primary practice located at 901 Venetia Bay Blvd Suite 358, Venice FL 34285-8041. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Ewen, Ida Marie can be contacted via phone (941) 484-5431.

Contact Information

Primary practice address
901 Venetia Bay Blvd Suite 358 Venice FL 34285-8041
Phone: (941) 484-5431
Fax: (941) 727-8005
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 00005326 Florida

Profile Details

NPI number 1376636647
LBN Legal business name Ewen, Ida Marie
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 1st, 2006
Last updated Oct 10th, 2009 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1376636647 NPPES
Florida Other 59801 BLUE CROSS BLUE SHIELD ID

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