Jackson, Bettina Monet
Jackson, Bettina Monet is an sole proprietor health care provider with primary practice located at 10312 Grandhaven Ave , Upper Marlboro MD 20772-6602. 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. Jackson, Bettina Monet can be contacted via phone (202) 352-5699.Contact Information
Primary practice address
10312 Grandhaven Ave
Upper Marlboro MD 20772-6602
Phone: (202) 352-5699
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 03049 | Maryland |
Profile Details
| NPI number | 1497739395 |
|---|---|
| LBN Legal business name | Jackson, Bettina Monet |
| Credentials | MS CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 4th, 2005 |
| Last updated | Aug 6th, 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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