Porter, Jennifer
Porter, Jennifer is an individual health care provider with primary practice located at 1060 W State Road 434 Suite 108, Longwood FL 32750-4919. 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. Porter, Jennifer can be contacted via phone (407) 260-0551.Contact Information
Primary practice address
1060 W State Road 434 Suite 108
Longwood FL 32750-4919
Phone: (407) 260-0551
Fax: (407) 265-9590
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SA7021 | Florida |
Profile Details
| NPI number | 1497779268 |
|---|---|
| LBN Legal business name | Porter, Jennifer |
| Credentials | MA, CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 26th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1497779268 | NPPES |
| Florida | MEDICAID | 888846900 |
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