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Contact Information

JILL DEPASS
701 SOUTHHAMPTON ROAD
BENICIA, CA94510
 Phone: 707-606-0895
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for JILL DEPASS · (Female)

NPI # 1023781820
Status Active
Credentials
Entity Individual
Enumeration date 07/28/2021
Last updated 07/28/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 94025921
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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