Medina-Tiencken, Kira Enid
Medina-Tiencken, Kira Enid is an individual health care provider with primary practice located at 31 Chestnut Ter , Bloomfield NJ 07003-4408. 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. Medina-Tiencken, Kira Enid can be contacted via phone (862) 812-1552.Contact Information
Primary practice address
31 Chestnut Ter
Bloomfield NJ 07003-4408
Phone: (862) 812-1552
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 41YS00796200 | New Jersey |
Profile Details
| NPI number | 1336631902 |
|---|---|
| LBN Legal business name | Medina-Tiencken, Kira Enid |
| Credentials | MS, CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 30th, 2018 |
| Last updated | May 30th, 2018 - about 7 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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