Revilla, Aldo Enrique

Revilla, Aldo Enrique is an individual health care provider with primary practice located at Bermiss Rd, Moody Afb , Valdosta GA 31699. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Revilla, Aldo Enrique can be contacted via phone (229) 257-4211.

Contact Information

Primary practice address
Bermiss Rd, Moody Afb Valdosta GA 31699
Phone: (229) 257-4211
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 4858 Puerto Rico

Profile Details

NPI number 1548771876
LBN Legal business name Revilla, Aldo Enrique
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2017
Last updated Oct 13th, 2017 - about 8 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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