Bass, Jacklyn

Bass, Jacklyn is an sole proprietor health care provider with primary practice located at 1233 Beech St Apt 31 , Atlantic Beach NY 11509-1630. 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. Bass, Jacklyn can be contacted via phone (516) 361-2015.

Contact Information

Primary practice address
1233 Beech St Apt 31 Atlantic Beach NY 11509-1630
Phone: (516) 361-2015
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1437547825
LBN Legal business name Bass, Jacklyn
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 7th, 2015
Last updated Jan 7th, 2015 - about 11 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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