Michelli, Jaclyn

Michelli, Jaclyn is an sole proprietor health care provider with primary practice located at 297 Mount Vernon Ave , Medford NY 11763-3112. 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. Michelli, Jaclyn can be contacted via phone (631) 672-4595.

Contact Information

Primary practice address
297 Mount Vernon Ave Medford NY 11763-3112
Phone: (631) 672-4595
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 023906 New York

Profile Details

NPI number 1457735599
LBN Legal business name Michelli, Jaclyn
Credentials CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 18th, 2015
Last updated Jul 18th, 2015 - about 10 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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