Mattiko, Jennifer Rebecca
Mattiko, Jennifer Rebecca is an sole proprietor health care provider with primary practice located at 34 Brentwood Rd , Camp Hill PA 17011-2506. 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. Mattiko, Jennifer Rebecca can be contacted via phone (717) 730-0511.Contact Information
Primary practice address
34 Brentwood Rd
Camp Hill PA 17011-2506
Phone: (717) 730-0511
Fax: (717) 730-0511
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SL006062L | Pennsylvania |
Profile Details
| NPI number | 1972712438 |
|---|---|
| LBN Legal business name | Mattiko, Jennifer Rebecca |
| Credentials | MA, CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 22nd, 2007 |
| Last updated | Jul 9th, 2007 - about 18 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 | 1972712438 | NPPES |
| Pennsylvania | MEDICAID | 0017858060004 |
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