Humphrey, Mary Dawn

Humphrey, Mary Dawn is an sole proprietor health care provider with primary practice located at 520 Se 5Th Ave Apt 1211 , Fort Lauderdale FL 33301-2953. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Humphrey, Mary Dawn can be contacted via phone (352) 497-9625.

Contact Information

Primary practice address
520 Se 5Th Ave Apt 1211 Fort Lauderdale FL 33301-2953
Phone: (352) 497-9625
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1740412618
LBN Legal business name Humphrey, Mary Dawn
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 11th, 2009
Last updated Aug 11th, 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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