Degroot, Jessica

Degroot, Jessica is an individual health care provider with primary practice located at 235 Wealthy St Se , Grand Rapids MI 49503-5247. 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. Degroot, Jessica can be contacted via phone (616) 840-8596.

Contact Information

Primary practice address
235 Wealthy St Se Grand Rapids MI 49503-5247
Phone: (616) 840-8596
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 7101007262 Michigan

Profile Details

NPI number 1598495012
LBN Legal business name Degroot, Jessica
Credentials CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2022
Last updated Jun 16th, 2022 - about 4 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 1598495012 NPPES
Michigan Other 7101007262 SLP LICENSE

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