Gervais, Delphine

Gervais, Delphine is an sole proprietor health care provider with primary practice located at 100 Nw 198Th St , Miami Gardens FL 33169-3354. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Gervais, Delphine can be contacted via phone (305) 494-2798.

Contact Information

Primary practice address
100 Nw 198Th St Miami Gardens FL 33169-3354
Phone: (305) 494-2798
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW 11931 Florida

Profile Details

NPI number 1053721456
LBN Legal business name Gervais, Delphine
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 7th, 2014
Last updated Nov 28th, 2016 - about 10 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 1053721456 NPPES
Florida MEDICAID 014020500

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