Peragine, Jennifer E

Peragine, Jennifer E is an sole proprietor health care provider with primary practice located at 1754 9Th St Apt D, Santa Monica CA 90404-4388. 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. Peragine, Jennifer E can be contacted via phone (310) 463-5809.

Contact Information

Primary practice address
1754 9Th St Apt D Santa Monica CA 90404-4388
Phone: (310) 463-5809
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 17626 California

Profile Details

NPI number 1407991904
LBN Legal business name Peragine, Jennifer E
Credentials M.S., CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 21st, 2007
Last updated May 5th, 2013 - about 11 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 1407991904 NPPES
Florida MEDICAID 891930500

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