Gavin, Jacklyn S
Gavin, Jacklyn S is an sole proprietor health care provider with primary practice located at 80 Washington St Ste P55 , Norwell MA 02061-1742. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Speech, Language and Hearing Service Providers / Speech-Language Assistant. Speech, Language and Hearing Service Providers / Speech-Language Assistant is her primary health care specialty. Gavin, Jacklyn S can be contacted via phone (781) 290-3886.Contact Information
Primary practice address
80 Washington St Ste P55
Norwell MA 02061-1742
Phone: (781) 290-3886
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | ||
| Speech, Language and Hearing Service Providers / Speech-Language Assistant | 2355S0801X |
Profile Details
| NPI number | 1023684537 |
|---|---|
| LBN Legal business name | Gavin, Jacklyn S |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 3rd, 2021 |
| Last updated | Sep 6th, 2023 - about 3 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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