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
Phone: (585) 359-5000
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1306121298 | NPPES |
New York | MEDICAID | 01497492 |
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