Balderson, Jessica Ellen
Balderson, Jessica Ellen is an sole proprietor health care provider with primary practice located at 146 Timber Creek Dr Ste 101 , Cordova TN 38018-4234. 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. Balderson, Jessica Ellen can be contacted via phone (901) 309-5219.Contact Information
Primary practice address
146 Timber Creek Dr Ste 101
Cordova TN 38018-4234
Phone: (901) 309-5219
Fax: (901) 309-5265
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 3278 | Tennessee |
Profile Details
| NPI number | 1811194590 |
|---|---|
| LBN Legal business name | Balderson, Jessica Ellen |
| Credentials | M.A. CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 27th, 2007 |
| Last updated | May 16th, 2011 - about 15 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 | 1811194590 | NPPES |
| Tennessee | Other | 4157052 | BCBS |
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