Baucom, Jennifer Clark

Baucom, Jennifer Clark is an individual health care provider with primary practice located at 6688 Main St , Gloucester VA 23061-5194. 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. Baucom, Jennifer Clark can be contacted via phone (804) 210-1555.

Contact Information

Primary practice address
6688 Main St Gloucester VA 23061-5194
Phone: (804) 210-1555
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 2202003940 Virginia

Profile Details

NPI number 1386854016
LBN Legal business name Baucom, Jennifer Clark
Credentials MA, CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2007
Last updated Jul 27th, 2010 - about 16 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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