Eagleson, Jayla Renae

Eagleson, Jayla Renae is an sole proprietor health care provider with primary practice located at 3502 University Dr S , Fargo ND 58104-6228. 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. Eagleson, Jayla Renae can be contacted via phone (701) 446-3934.

Contact Information

Primary practice address
3502 University Dr S Fargo ND 58104-6228
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 1046 North Dakota

Profile Details

NPI number 1851545842
LBN Legal business name Eagleson, Jayla Renae
Credentials M.S. CCC/SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 4th, 2008
Last updated Aug 6th, 2018 - about 8 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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