Acosta, Jennifer

Acosta, Jennifer is an sole proprietor health care provider with primary practice located at 16500 Ventura Blvd Ste 414 , Encino CA 91436-5050. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Assistant, which is considered as her primary health care specialty. Acosta, Jennifer can be contacted via phone (818) 788-1003.

Contact Information

Primary practice address
16500 Ventura Blvd Ste 414 Encino CA 91436-5050
Phone: (818) 788-1003
Fax: (818) 788-1135
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Assistant 2355S0801X SLPA1026 California

Profile Details

NPI number 1679817407
LBN Legal business name Acosta, Jennifer
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 16th, 2012
Last updated Nov 16th, 2012 - about 14 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 1679817407 NPPES
California Other SLPA1026 SPEECH THERAPY

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