Kresge, Jessica Erin

Kresge, Jessica Erin is an individual health care provider with primary practice located at 3086 W Milano Dr , Meridian ID 83646-7288. 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. Kresge, Jessica Erin can be contacted via phone (208) 996-0552.

Contact Information

Primary practice address
3086 W Milano Dr Meridian ID 83646-7288
Phone: (208) 996-0552
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SLP.0003521 Colorado
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SLP-4361 Idaho

Profile Details

NPI number 1659839553
LBN Legal business name Kresge, Jessica Erin
Credentials M.S., CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2019
Last updated Apr 15th, 2022 - about 4 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 1659839553 NPPES
Colorado Other SLP.0003521 COLORADO DEPARTMENT OF REGULATORY AGENCIES

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