Olson, Jennifer C

Olson, Jennifer C is an individual health care provider with primary practice located at 9895 La View Cir , Roswell GA 30075-4632. 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. Olson, Jennifer C can be contacted via phone (404) 694-9105.

Contact Information

Primary practice address
9895 La View Cir Roswell GA 30075-4632
Phone: (404) 694-9105
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 3700 South Carolina

Profile Details

NPI number 1538183546
LBN Legal business name Olson, Jennifer C
Credentials SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Feb 11th, 2009 - about 16 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 1538183546 NPPES
South Carolina MEDICAID SA0703

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