Boettcher, Joanna

Boettcher, Joanna is an individual health care provider with primary practice located at 1650 Response Rd Department 1 A Rehabilitation Services, Sacramento CA 95815-4807. 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. Boettcher, Joanna can be contacted via phone (916) 614-4010.

Contact Information

Primary practice address
1650 Response Rd Department 1 A Rehabilitation Services Sacramento CA 95815-4807
Phone: (916) 614-4010
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SP 7321 California

Profile Details

NPI number 1245391184
LBN Legal business name Boettcher, Joanna
Credentials SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2006
Last updated Jul 13th, 2007 - about 19 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 1245391184 NPPES
California Other SP 7321 STATE LICENSE

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