Mclean, Jodi

Mclean, Jodi is an sole proprietor health care provider with primary practice located at 4402 Vance Jackson Rd Suite 156, San Antonio TX 78230-5336. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter, which is considered as her primary health care specialty. Mclean, Jodi can be contacted via phone (210) 341-0451.

Contact Information

Primary practice address
4402 Vance Jackson Rd Suite 156 San Antonio TX 78230-5336
Fax: (210) 341-5834
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X 50528 Texas

Profile Details

NPI number 1992787543
LBN Legal business name Mclean, Jodi
Credentials AU.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 18th, 2005
Last updated Feb 11th, 2011 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1992787543 NPPES
Texas MEDICAID 1506073-04

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