Edwards-Mayes, Jennifer Christine

Edwards-Mayes, Jennifer Christine is an individual health care provider with primary practice located at 8245 Holly Rd Suite 204, Grand Blanc MI 48439. 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. Edwards-Mayes, Jennifer Christine can be contacted via phone (810) 603-0040.

Contact Information

Primary practice address
8245 Holly Rd Suite 204 Grand Blanc MI 48439
Phone: (810) 603-0040
Fax: (810) 603-0044
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 12031896 Michigan

Profile Details

NPI number 1104067206
LBN Legal business name Edwards-Mayes, Jennifer Christine
Credentials MA CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 19th, 2009
Last updated Aug 24th, 2018 - about 7 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 1104067206 NPPES
Michigan Other 12031896 ASHA ID NUMBER

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