Boulware, Jennifer

Boulware, Jennifer is an individual health care provider with primary practice located at 780 Lynnhaven Pkwy Ste 400 , Virginia Beach VA 23452-7332. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Speech-Language Assistant, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavior Technician is her primary health care specialty. Boulware, Jennifer can be contacted via phone (602) 478-3321.

Contact Information

Primary practice address
780 Lynnhaven Pkwy Ste 400 Virginia Beach VA 23452-7332
Phone: (602) 478-3321
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Assistant 2355S0801X 7716 Arizona
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X Virginia

Profile Details

NPI number 1952722795
LBN Legal business name Boulware, Jennifer
Credentials SLPA
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2013
Last updated Jun 15th, 2022 - about 2 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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