Deslich, Jennifer
Deslich, Jennifer is an individual health care provider with primary practice located at 165 Ridgecrest Cir Ste B , Clayton GA 30525-4196. She recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Feeding, Eating & Swallowing, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is her primary health care specialty. Deslich, Jennifer can be contacted via phone (678) 357-5849.Contact Information
Primary practice address
165 Ridgecrest Cir Ste B
Clayton GA 30525-4196
Phone: (678) 357-5849
Fax: (706) 534-6750
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Feeding, Eating & Swallowing | 225XF0002X | 15112 | North Carolina |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | 15112 | North Carolina |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | OT005828 | Georgia |
Profile Details
| NPI number | 1790107993 |
|---|---|
| LBN Legal business name | Deslich, Jennifer |
| Credentials | Occupational Therapist (OT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 8th, 2014 |
| Last updated | Sep 27th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790107993 | NPPES |
| Georgia | MEDICAID | 003141022A |
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