Porter, Jennifer

Porter, Jennifer is an individual health care provider with primary practice located at 1060 W State Road 434 Suite 108, Longwood FL 32750-4919. 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. Porter, Jennifer can be contacted via phone (407) 260-0551.

Contact Information

Primary practice address
1060 W State Road 434 Suite 108 Longwood FL 32750-4919
Phone: (407) 260-0551
Fax: (407) 265-9590
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SA7021 Florida

Profile Details

NPI number 1497779268
LBN Legal business name Porter, Jennifer
Credentials MA, CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Jul 8th, 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 1497779268 NPPES
Florida MEDICAID 888846900

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