Hernandez, Julyssa Aidee

Hernandez, Julyssa Aidee is an individual health care provider with primary practice located at 2424 E Southern Ave , Mesa AZ 85204-5409. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Assistant, which is considered as her primary health care specialty. Hernandez, Julyssa Aidee can be contacted via phone (480) 361-1972.

Contact Information

Primary practice address
2424 E Southern Ave Mesa AZ 85204-5409
Phone: (480) 361-1972
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Assistant 2355S0801X SLPA12996 Arizona

Profile Details

NPI number 1720661739
LBN Legal business name Hernandez, Julyssa Aidee
Credentials SLPA
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2021
Last updated Sep 7th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1720661739 NPPES
Arizona Other SLPA12996 LICENSE

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