Storlie, Jennifer
Storlie, Jennifer is an sole proprietor health care provider with primary practice located at 5201 Great America Pkwy Ste 320 , Santa Clara CA 95054. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Storlie, Jennifer can be contacted via phone (408) 444-7074.Contact Information
Primary practice address
5201 Great America Pkwy Ste 320
Santa Clara CA 95054
Phone: (408) 444-7074
Fax: (408) 290-9945
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 26781 | California |
Profile Details
| NPI number | 1225436397 |
|---|---|
| LBN Legal business name | Storlie, Jennifer |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 5th, 2014 |
| Last updated | Jan 23rd, 2019 - about 7 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 | 1225436397 | NPPES |
| California | Other | 26781 | PSY LICENSE |
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