Kellogg, Jacquelyn Marie
Kellogg, Jacquelyn Marie is an individual health care provider with primary practice located at 5465 Route 8 , Gibsonia PA 15044-9696. 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. Kellogg, Jacquelyn Marie can be contacted via phone (724) 444-5333.Contact Information
Primary practice address
5465 Route 8
Gibsonia PA 15044-9696
Phone: (724) 444-5333
Fax: (724) 444-5335
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SL008157 | Pennsylvania |
Profile Details
| NPI number | 1740317551 |
|---|---|
| LBN Legal business name | Kellogg, Jacquelyn Marie |
| Credentials | M.S., CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 28th, 2007 |
| Last updated | Jun 16th, 2009 - about 17 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 | 1740317551 | NPPES |
| Pennsylvania | MEDICAID | 101360361 |
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