Eberhart, Jessica Rae

Eberhart, Jessica Rae is an sole proprietor health care provider with primary practice located at 622 Hawkins Ave , Lake Ronkonkoma NY 11779-2374. 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. Eberhart, Jessica Rae can be contacted via phone (631) 240-3579.

Contact Information

Primary practice address
622 Hawkins Ave Lake Ronkonkoma NY 11779-2374
Phone: (631) 240-3579
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X New York

Profile Details

NPI number 1649819392
LBN Legal business name Eberhart, Jessica Rae
Credentials M.S. CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 29th, 2019
Last updated Dec 29th, 2019 - about 5 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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