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Contact Information

JAY E EARLES, PSYD
120 CHESTERFIELD ST N
AIKEN, SC29801-3934
 Phone: 803-641-9979
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Health

103TH0004X 62 Psychologist, Clinical
 

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for JAY E EARLES · (Male)

NPI # 1770632515
Status Active
Credentials PSYD (Doctor of Psychology)
Entity Individual
Enumeration date 01/10/2007
Last updated 03/17/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • AL License # 773
  • SC License # 1469
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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