Autenrieth, Jennifer Lisa

Autenrieth, Jennifer Lisa is an sole proprietor health care provider with primary practice located at 1107 Mabbette Street , Kissimmee FL 34741. 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. Autenrieth, Jennifer Lisa can be contacted via phone (407) 201-8079.

Contact Information

Primary practice address
1107 Mabbette Street Kissimmee FL 34741
Phone: (407) 201-8079
Fax: (407) 343-9180
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SA 7468 Florida

Profile Details

NPI number 1164565214
LBN Legal business name Autenrieth, Jennifer Lisa
Credentials M.A. CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 15th, 2007
Last updated Sep 9th, 2016 - about 10 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 1164565214 NPPES
Florida MEDICAID 018229600

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