Jackson, Emily Elise

Jackson, Emily Elise is an individual health care provider with primary practice located at 1149 W 190Th St Ste 2300 , Gardena CA 90248-4350. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Assistant, which is considered as her primary health care specialty. Jackson, Emily Elise can be contacted via phone (310) 892-5812.

Contact Information

Primary practice address
1149 W 190Th St Ste 2300 Gardena CA 90248-4350
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Assistant 2355S0801X 7495 California

Profile Details

NPI number 1114796018
LBN Legal business name Jackson, Emily Elise
Credentials SLPA
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2023
Last updated Feb 16th, 2024 - about 10 months 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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