Provider Demographics
NPI:1841384047
Name:SCARPELLINI HUBER, JILL M (PHD)
Entity Type:Individual
Prefix:DR
First Name:JILL
Middle Name:M
Last Name:SCARPELLINI HUBER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:871 VENETIA BAY BLVD
Mailing Address - Street 2:SUITE 360
Mailing Address - City:VENICE
Mailing Address - State:FL
Mailing Address - Zip Code:34285-8047
Mailing Address - Country:US
Mailing Address - Phone:941-486-8787
Mailing Address - Fax:941-480-9013
Practice Address - Street 1:871 VENETIA BAY BLVD
Practice Address - Street 2:SUITE 360
Practice Address - City:VENICE
Practice Address - State:FL
Practice Address - Zip Code:34285-8047
Practice Address - Country:US
Practice Address - Phone:941-486-8787
Practice Address - Fax:941-480-9013
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2007-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY7103103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist