Thibodeaux, Jourdan Paige

Thibodeaux, Jourdan Paige is an sole proprietor health care provider with primary practice located at 100 Universal City Plz , Universal City CA 91608-1002. She recently has only one registered license in Behavioral Health & Social Service Providers / Cognitive & Behavioral, which is considered as her primary health care specialty. Thibodeaux, Jourdan Paige can be contacted via phone (909) 246-7020.

Contact Information

Primary practice address
100 Universal City Plz Universal City CA 91608-1002
Phone: (909) 246-7020
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X

Profile Details

NPI number 1467161190
LBN Legal business name Thibodeaux, Jourdan Paige
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 21st, 2022
Last updated Nov 21st, 2022 - about 4 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 1467161190 NPPES
Other 12385087 KAISER

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