Dean, Katelyn
Dean, Katelyn is an individual health care provider with primary practice located at 2717 E Maverick Ave , Anaheim CA 92806-5038. 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. Dean, Katelyn can be contacted via phone (714) 350-1942.Contact Information
Primary practice address
2717 E Maverick Ave
Anaheim CA 92806-5038
Phone: (714) 350-1942
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 16172 | California |
Profile Details
| NPI number | 1053056630 |
|---|---|
| LBN Legal business name | Dean, Katelyn |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 28th, 2022 |
| Last updated | Jun 27th, 2023 - about 3 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 | 1053056630 | NPPES |
| California | MEDICAID | 16172 |
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