Massengale, Jacqueline

Massengale, Jacqueline is an sole proprietor health care provider with primary practice located at 22001 Fairmount Blvd , Shaker Heights OH 44118-4819. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Massengale, Jacqueline can be contacted via phone (216) 408-8049.

Contact Information

Primary practice address
22001 Fairmount Blvd Shaker Heights OH 44118-4819
Phone: (216) 408-8049
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 1000340-TRNE Ohio

Profile Details

NPI number 1306145537
LBN Legal business name Massengale, Jacqueline
Credentials C.T.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 28th, 2011
Last updated Mar 28th, 2011 - about 15 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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