Jimenez, Lisandra
Jimenez, Lisandra is an individual health care provider with primary practice located at 151 Summit Ave , Summit NJ 07901-2813. 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. Jimenez, Lisandra can be contacted via phone (908) 598-0228.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 41YS00389300 | New Jersey |
Profile Details
| NPI number | 1740788637 |
|---|---|
| LBN Legal business name | Jimenez, Lisandra |
| Credentials | MA CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 25th, 2018 |
| Last updated | Jan 25th, 2018 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740788637 | NPPES |
| New Jersey | Other | 41YS00389300 | STATE LICENSE SPEECH LANGUAGE PATHOLOGIST |
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