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Contact Information

PROJECT REBOUND INC.
1170 BROWN AVE STREET B
COLUMBUS, GA31906
 Phone: 706-221-4830
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
 

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for PROJECT REBOUND INC · (Female)

NPI # 1104153451
Status Active
Credentials
Entity Individual
Enumeration date 11/06/2009
Last updated 11/06/2009 - About 17 years ago
Sole proprietor 1 Not specified
Identifiers
  • GA License # 062999
  • GA License # CSW003530
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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