Polsky, Jaclyn Holly
Polsky, Jaclyn Holly is an individual health care provider with primary practice located at 514 Se 11Th Ct Suite A, Fort Lauderdale FL 33316-1111. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Polsky, Jaclyn Holly can be contacted via phone (954) 764-7155.Contact Information
Primary practice address
514 Se 11Th Ct Suite A
Fort Lauderdale FL 33316-1111
Phone: (954) 764-7155
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PY8678 | Florida |
Profile Details
| NPI number | 1043552045 |
|---|---|
| LBN Legal business name | Polsky, Jaclyn Holly |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 18th, 2013 |
| Last updated | Mar 18th, 2013 - about 13 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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