Pruitt, Jesica C

Pruitt, Jesica C is an sole proprietor health care provider with primary practice located at 9818 Ne 200Th St , Bothell WA 98011-2300. 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. Pruitt, Jesica C can be contacted via phone (425) 941-3768.

Contact Information

Primary practice address
9818 Ne 200Th St Bothell WA 98011-2300
Phone: (425) 941-3768
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X LL00004202 Washington

Profile Details

NPI number 1366519001
LBN Legal business name Pruitt, Jesica C
Credentials MS, CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 29th, 2006
Last updated Sep 12th, 2008 - 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 1366519001 NPPES
Washington Other 12090673 ASHA NUMBER
Washington Other 7411852 ASHA NUMBER
Washington MEDICAID 8461469 ASHA NUMBER
Washington MEDICAID 7028319 ASHA NUMBER

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