Dubbeld, Key Jacklyn

Dubbeld, Key Jacklyn is an sole proprietor health care provider with primary practice located at 3364 Antigua Ln Unit 102, Tampa FL 33614-2240. 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. Dubbeld, Key Jacklyn can be contacted via phone (813) 915-1171.

Contact Information

Primary practice address
3364 Antigua Ln Unit 102 Tampa FL 33614-2240
Phone: (813) 915-1171
Fax: (813) 932-6368
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SA7540 Florida

Profile Details

NPI number 1023034659
LBN Legal business name Dubbeld, Key Jacklyn
Credentials M.S-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 15th, 2006
Last updated Mar 21st, 2011 - about 15 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 1023034659 NPPES
Florida MEDICAID 888663600
Florida MEDICAID 888663698
Florida MEDICAID 888663696

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