Prewett, Johann Nicholas
Prewett, Johann Nicholas is an individual health care provider with primary practice located at 1726 Kingsley Ave Suite 12, Orange Park FL 32073-4463. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Prewett, Johann Nicholas can be contacted via phone (904) 269-6071.Contact Information
Primary practice address
1726 Kingsley Ave Suite 12
Orange Park FL 32073-4463
Phone: (904) 269-6071
Fax: (904) 269-6642
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PY 4331 | Florida |
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | PY 4331 | Florida |
Profile Details
| NPI number | 1972539690 |
|---|---|
| LBN Legal business name | Prewett, Johann Nicholas |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 24th, 2006 |
| Last updated | Aug 23rd, 2017 - about 9 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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