Dutton, Jerilyn Nicole

Dutton, Jerilyn Nicole is an sole proprietor health care provider with primary practice located at 7759 Herschel Ave Ste B, La Jolla CA 92037-4478. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Dutton, Jerilyn Nicole can be contacted via phone (619) 534-4865.

Contact Information

Primary practice address
7759 Herschel Ave Ste B La Jolla CA 92037-4478
Phone: (619) 534-4865
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X AU 2690 California
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 574 Colorado

Profile Details

NPI number 1588897003
LBN Legal business name Dutton, Jerilyn Nicole
Credentials AU.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 1st, 2009
Last updated Oct 21st, 2019 - about 7 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1588897003 NPPES
Colorado Other 12147264 CAQH

Popular Providers