Dewaal, Jacquelyn S

Dewaal, Jacquelyn S is an individual health care provider with primary practice located at 1096 34Th St , Allegan MI 49010-9305. 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. Dewaal, Jacquelyn S can be contacted via phone (269) 365-3279.

Contact Information

Primary practice address
1096 34Th St Allegan MI 49010-9305
Phone: (269) 365-3279
Fax: (269) 781-9290
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 7101006233 Michigan
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 7101006797 Michigan

Profile Details

NPI number 1104474089
LBN Legal business name Dewaal, Jacquelyn S
Credentials M.A., CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 3rd, 2019
Last updated Feb 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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