Jackson Dorman, Lynn Stephanie

Jackson Dorman, Lynn Stephanie is an sole proprietor health care provider with primary practice located at 1700 Park St N Ste 110 , St Petersburg FL 33710-4300. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Jackson Dorman, Lynn Stephanie can be contacted via phone (813) 644-2747.

Contact Information

Primary practice address
1700 Park St N Ste 110 St Petersburg FL 33710-4300
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X Florida

Profile Details

NPI number 1053959023
LBN Legal business name Jackson Dorman, Lynn Stephanie
Credentials LMHC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 20th, 2019
Last updated Jan 17th, 2025 - about last year

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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