Jensen, Katrina M.

Jensen, Katrina M. is an individual health care provider with primary practice located at 923 Pennsylvania Ave Suite 100 , Fort Worth TX 76104-2254. 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. Jensen, Katrina M. can be contacted via phone (817) 920-0484.

Contact Information

Primary practice address
923 Pennsylvania Ave Suite 100 Fort Worth TX 76104-2254
Phone: (817) 920-0484
Fax: (817) 920-0068
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 103842 Texas

Profile Details

NPI number 1558402198
LBN Legal business name Jensen, Katrina M.
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2007
Last updated Sep 30th, 2011 - about 15 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 1558402198 NPPES
Texas Other P00814318 RAILROAD
Texas MEDICAID 205929701 RAILROAD

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