Larson, Jessica Lee
Larson, Jessica Lee is an individual health care provider with primary practice located at 4183 Sunnyslope Rd Sw , Port Orchard WA 98367-7677. 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. Larson, Jessica Lee can be contacted via phone (360) 443-3503.Contact Information
Primary practice address
4183 Sunnyslope Rd Sw
Port Orchard WA 98367-7677
Phone: (360) 443-3503
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 60779490 | Washington |
Profile Details
| NPI number | 1770096265 |
|---|---|
| LBN Legal business name | Larson, Jessica Lee |
| Credentials | CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 7th, 2017 |
| Last updated | Nov 7th, 2017 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770096265 | NPPES |
| Other | 14074866 | AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION (ASHA) |
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