Pahl, Jennifer Lynn

Pahl, Jennifer Lynn is an individual health care provider with primary practice located at 10554 W Alvarado Rd , Avondale AZ 85323-4709. 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. Pahl, Jennifer Lynn can be contacted via phone (763) 913-8217.

Contact Information

Primary practice address
10554 W Alvarado Rd Avondale AZ 85323-4709
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SLPL5119 Arizona

Profile Details

NPI number 1801934088
LBN Legal business name Pahl, Jennifer Lynn
Credentials BS SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2007
Last updated Jul 9th, 2007 - about 17 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 1801934088 NPPES
Arizona MEDICAID 122014

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