Vanderfeen, Jessica Joan
Vanderfeen, Jessica Joan is an individual health care provider with primary practice located at 139 N Main St American School For The Deaf, West Hartford CT 06107-1264. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Vanderfeen, Jessica Joan can be contacted via phone (860) 570-2318.Contact Information
Primary practice address
139 N Main St American School For The Deaf
West Hartford CT 06107-1264
Phone: (860) 570-2318
Fax: (860) 570-2271
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | 000351 | Connecticut |
Profile Details
| NPI number | 1083744320 |
|---|---|
| LBN Legal business name | Vanderfeen, Jessica Joan |
| Credentials | M.A., CCC-A |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 6th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083744320 | NPPES |
| Connecticut | Other | 11220528 | CAQH |
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