Jacky Pepper, Psy D, Inc

LBN: Jacky Pepper, Psy D, Inc
Jacky Pepper, Psy D, Inc is an health care organization with primary practice located at 1500 N University Dr Suite 202, Coral Springs FL 33071-8914. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Jacky Pepper, Psy D, Inc can be contacted via phone (954) 345-2292, or through Pepper, Jacky via phone (954) 232-0044.

Contact Information

Primary practice address
1500 N University Dr Suite 202 Coral Springs FL 33071-8914
Phone: (954) 345-2292
Fax: (954) 341-8101
Website:
Map and Directions
Authorized official contact:
Name: Pepper, Jacky PSY.D.
Phone: (954) 232-0044

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY6102 Florida

Profile Details

NPI number 1841321791
LBN Legal business name Jacky Pepper, Psy D, Inc
DBA Doing business as
Authorized official Pepper, Jacky PSY.D.
Entity Organization
Organization subpart 1 No
Enumeration date Mar 9th, 2007
Last updated Dec 7th, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841321791 NPPES
Florida Other 54571 BLUE CROSS BLUE SHIELD

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