Gedajlovic, Sara L
Gedajlovic, Sara L is an sole proprietor health care provider with primary practice located at 930 Snell Isle Blvd Ne , Saint Petersburg FL 33704-3830. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Gedajlovic, Sara L can be contacted via phone (727) 743-3483.Contact Information
Primary practice address
930 Snell Isle Blvd Ne
Saint Petersburg FL 33704-3830
Phone: (727) 743-3483
Fax: (727) 896-7272
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | MH 3061 | Florida |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | MH 3061 | Florida |
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | MH 3061 | Florida |
Profile Details
| NPI number | 1720362544 |
|---|---|
| LBN Legal business name | Gedajlovic, Sara L |
| Credentials | LMHC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 29th, 2011 |
| Last updated | Sep 29th, 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 | 1720362544 | NPPES |
| Florida | MEDICAID | 761456000 |
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