Ricke, Jill L

Ricke, Jill L is an sole proprietor health care provider with primary practice located at 1535 Killearn Center Blvd Suite D-1, Tallahassee FL 32309-3467. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Ricke, Jill L can be contacted via phone (850) 877-6011.

Contact Information

Primary practice address
1535 Killearn Center Blvd Suite D-1 Tallahassee FL 32309-3467
Phone: (850) 877-6011
Fax: (850) 893-6013
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PY0004423 Florida

Profile Details

NPI number 1508900580
LBN Legal business name Ricke, Jill L
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 16th, 2007
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508900580 NPPES
Florida Other 73698 BLUE CROSS BLUE SHIELD

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