Casey, Jennifer Dyan

Casey, Jennifer Dyan is an sole proprietor health care provider with primary practice located at 20872 E Via Del Palo , Queen Creek AZ 85242-6943. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Casey, Jennifer Dyan can be contacted via phone (480) 993-9279.

Contact Information

Primary practice address
20872 E Via Del Palo Queen Creek AZ 85242-6943
Phone: (480) 993-9279
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SLP4017 Arizona

Profile Details

NPI number 1174643746
LBN Legal business name Casey, Jennifer Dyan
Credentials M.S. CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 29th, 2007
Last updated Jul 8th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1174643746 NPPES
Arizona Other 12070825 ASHA MEMBER NUMBER

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