Standifer, Dale Ellen

Standifer, Dale Ellen is an sole proprietor health care provider with primary practice located at 20050 Medus St , Covington LA 70435-0162. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Standifer, Dale Ellen can be contacted via phone (504) 228-9265.

Contact Information

Primary practice address
20050 Medus St Covington LA 70435-0162
Phone: (504) 228-9265
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 3434 Louisiana

Profile Details

NPI number 1730427105
LBN Legal business name Standifer, Dale Ellen
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 20th, 2013
Last updated Jan 20th, 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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