Ventura, Jessica Susan

Ventura, Jessica Susan is an sole proprietor health care provider with primary practice located at 2034 Lehigh Station Rd , Henrietta NY 14467. 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. Ventura, Jessica Susan can be contacted via phone (585) 359-5000.

Contact Information

Primary practice address
2034 Lehigh Station Rd Henrietta NY 14467
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 009872-1 New York

Profile Details

NPI number 1306121298
LBN Legal business name Ventura, Jessica Susan
Credentials MA, CCC/SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 11th, 2011
Last updated Aug 31st, 2020 - about 4 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 1306121298 NPPES
New York MEDICAID 01497492

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