Long, Jacquelynn Marie

Long, Jacquelynn Marie is an individual health care provider with primary practice located at 4530 E Shea Blvd Ste 180 , Phoenix AZ 85028-6042. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter, Speech, Language and Hearing Service Providers / Audiologist. Speech, Language and Hearing Service Providers / Audiologist is her primary health care specialty. Long, Jacquelynn Marie can be contacted via phone (602) 264-4834.

Contact Information

Primary practice address
4530 E Shea Blvd Ste 180 Phoenix AZ 85028-6042
Phone: (602) 264-4834
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X DA10110 Arizona
Speech, Language and Hearing Service Providers / Audiologist 231H00000X DA10110 Arizona

Profile Details

NPI number 1538618400
LBN Legal business name Long, Jacquelynn Marie
Credentials AUD
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2016
Last updated Dec 30th, 2021 - 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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