Hietala, Jennifer Nicole
Hietala, Jennifer Nicole is an individual health care provider with primary practice located at 3525 E Louise Dr Ste 255 , Meridian ID 83642-6303. 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. Hietala, Jennifer Nicole can be contacted via phone (208) 489-5099.Contact Information
Primary practice address
3525 E Louise Dr Ste 255
Meridian ID 83642-6303
Phone: (208) 489-5099
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SLP-1881 | Idaho |
Profile Details
| NPI number | 1356788145 |
|---|---|
| LBN Legal business name | Hietala, Jennifer Nicole |
| Credentials | MS, CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 3rd, 2013 |
| Last updated | Jun 3rd, 2013 - about 13 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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