Priddy, J. Michael
Priddy, J. Michael is an individual health care provider with primary practice located at 1801 Bush St Suite 111, San Francisco CA 94109-5239. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Priddy, J. Michael can be contacted via phone (415) 752-2726.Contact Information
Primary practice address
1801 Bush St Suite 111
San Francisco CA 94109-5239
Phone: (415) 752-2726
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY10186 | California |
Profile Details
| NPI number | 1144283466 |
|---|---|
| LBN Legal business name | Priddy, J. Michael |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 8th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1144283466 | NPPES |
| California | Other | PSY10186 | STATE LICENSE |
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