Fedalizo, Jordan
Fedalizo, Jordan is an individual health care provider with primary practice located at 8030 La Mesa Blvd # 416 , La Mesa CA 91942-0335. 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. Fedalizo, Jordan can be contacted via phone (619) 567-9448.Contact Information
Primary practice address
8030 La Mesa Blvd # 416
La Mesa CA 91942-0335
Phone: (619) 567-9448
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X |
Profile Details
| NPI number | 1356014740 |
|---|---|
| LBN Legal business name | Fedalizo, Jordan |
| Credentials | M.A. CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 30th, 2021 |
| Last updated | Jul 30th, 2021 - about 3 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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