Havens, Jodie M

Havens, Jodie M is an sole proprietor health care provider with primary practice located at 245 S 6Th St , Sheldon IL 60966-8309. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Speech-Language Assistant, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Speech, Language and Hearing Service Providers / Speech-Language Pathologist is her primary health care specialty. Havens, Jodie M can be contacted via phone (815) 644-2425.

Contact Information

Primary practice address
245 S 6Th St Sheldon IL 60966-8309
Phone: (815) 644-2425
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Assistant 2355S0801X 146010744 Illinois
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 146010744 Illinois

Profile Details

NPI number 1538428941
LBN Legal business name Havens, Jodie M
Credentials M.S. CCC-SLP/L
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 7th, 2012
Last updated May 7th, 2012 - about 13 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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