Cosby, Jennifer D

Cosby, Jennifer D is an sole proprietor health care provider with primary practice located at 844 Bella Vida Blvd , Orlando FL 32828-6719. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Speech, Language and Hearing Service Providers / Speech-Language Pathologist is her primary health care specialty. Cosby, Jennifer D can be contacted via phone (407) 463-7875.

Contact Information

Primary practice address
844 Bella Vida Blvd Orlando FL 32828-6719
Phone: (407) 463-7875
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SA10053 Florida

Profile Details

NPI number 1740474790
LBN Legal business name Cosby, Jennifer D
Credentials ITDS/ MA, CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 4th, 2007
Last updated Aug 27th, 2013 - about 12 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 1740474790 NPPES
Florida MEDICAID 000957900

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