Petiteau, Jennifer

Petiteau, Jennifer is an individual health care provider with primary practice located at 335 Four Mile Rd , Conway SC 29526-4506. 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. Petiteau, Jennifer can be contacted via phone (843) 488-6700.

Contact Information

Primary practice address
335 Four Mile Rd Conway SC 29526-4506
Fax:
Website:

Health care specialties

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

Profile Details

NPI number 1457782799
LBN Legal business name Petiteau, Jennifer
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2013
Last updated Dec 12th, 2013 - about 12 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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