Reidenbach, Jennifer Alllison

Reidenbach, Jennifer Alllison is an individual health care provider with primary practice located at 1233 Ben Sawyer Blvd Suite 500, Mount Pleasant SC 29464-4577. 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. Reidenbach, Jennifer Alllison can be contacted via phone (843) 697-0396.

Contact Information

Primary practice address
1233 Ben Sawyer Blvd Suite 500 Mount Pleasant SC 29464-4577
Fax: (864) 640-8011
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 3695 South Carolina

Profile Details

NPI number 1780647610
LBN Legal business name Reidenbach, Jennifer Alllison
Credentials MSR, CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2006
Last updated Oct 1st, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780647610 NPPES
South Carolina MEDICAID SA0617

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