Berges, Jacqueline

Berges, Jacqueline is an individual health care provider with primary practice located at 14409 Greenview Dr Ste 102 , Laurel MD 20708-4213. 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. Berges, Jacqueline can be contacted via phone (301) 498-8100.

Contact Information

Primary practice address
14409 Greenview Dr Ste 102 Laurel MD 20708-4213
Fax: (301) 498-0009
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 01826L Maryland

Profile Details

NPI number 1659911865
LBN Legal business name Berges, Jacqueline
Credentials SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 15th, 2020
Last updated Jan 15th, 2020 - about 6 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 1659911865 NPPES
Maryland Other 01826L STATE DEPARTMENT OF HEALTH

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