Marland, Jill Ellen
Marland, Jill Ellen is an individual health care provider with primary practice located at 1 Roundhouse Plz Ste 201, Northampton MA 01060-4401. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Marland, Jill Ellen can be contacted via phone (413) 586-3058.Contact Information
Primary practice address
1 Roundhouse Plz Ste 201
Northampton MA 01060-4401
Phone: (413) 586-3058
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 1021127 | Massachusetts |
Profile Details
| NPI number | 1104812205 |
|---|---|
| LBN Legal business name | Marland, Jill Ellen |
| Credentials | LICSW MSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 23rd, 2005 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104812205 | NPPES |
| Massachusetts | MEDICAID | 1857444 |
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