Lidvall, Jessica Elizabeth

Lidvall, Jessica Elizabeth is an individual health care provider with primary practice located at 2424 Double Churches Rd , Columbus GA 31909-2741. 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. Lidvall, Jessica Elizabeth can be contacted via phone (706) 324-6112.

Contact Information

Primary practice address
2424 Double Churches Rd Columbus GA 31909-2741
Phone: (706) 324-6112
Fax: (706) 596-8259
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X PCET003090 Georgia

Profile Details

NPI number 1316455025
LBN Legal business name Lidvall, Jessica Elizabeth
Credentials MA, CFY-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2018
Last updated Jun 2nd, 2020 - about 6 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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