Jeddis, Randi Ellen

Jeddis, Randi Ellen is an sole proprietor health care provider with primary practice located at 349 Passaic Ave , Nutley NJ 07110-2738. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Jeddis, Randi Ellen can be contacted via phone (973) 214-5988.

Contact Information

Primary practice address
349 Passaic Ave Nutley NJ 07110-2738
Phone: (973) 214-5988
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X SC01726 New Jersey

Profile Details

NPI number 1699973040
LBN Legal business name Jeddis, Randi Ellen
Credentials MSW, LCSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 6th, 2007
Last updated Jul 2nd, 2014 - about 12 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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