Wickesberg, Jennifer

Wickesberg, Jennifer is an individual health care provider with primary practice located at 3636 W Dallas St , Houston TX 77019-1704. She recently has 3 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter, Speech, Language and Hearing Service Providers / Hearing Instrument Specialist, Speech, Language and Hearing Service Providers / Audiologist. Speech, Language and Hearing Service Providers / Audiologist is her primary health care specialty. Wickesberg, Jennifer can be contacted via phone (713) 523-4722.

Contact Information

Primary practice address
3636 W Dallas St Houston TX 77019-1704
Phone: (713) 523-4722
Fax: (713) 523-8399
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X 51231 Texas
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X 51231 Texas
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 51231 Texas

Profile Details

NPI number 1497716773
LBN Legal business name Wickesberg, Jennifer
Credentials AU.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2006
Last updated Aug 19th, 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 1497716773 NPPES
Texas MEDICAID 167277602
Texas MEDICAID 167277601
Texas MEDICAID 167277604
Texas MEDICAID 167277603
Texas MEDICAID 167277605

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