Jeong, Stacey Joanna

Jeong, Stacey Joanna is an individual health care provider with primary practice located at 462 San Mateo Ave Ste A , San Bruno CA 94066-4437. 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. Jeong, Stacey Joanna can be contacted via phone (415) 469-4988.

Contact Information

Primary practice address
462 San Mateo Ave Ste A San Bruno CA 94066-4437
Phone: (415) 469-4988
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 15943 California

Profile Details

NPI number 1972272433
LBN Legal business name Jeong, Stacey Joanna
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2021
Last updated Sep 8th, 2021 - about 4 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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