Rodriguez, Jennifer Alicia

Rodriguez, Jennifer Alicia is an sole proprietor health care provider with primary practice located at 2010 Redskin Ave Ste A, Donna TX 78537-3380. 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. Rodriguez, Jennifer Alicia can be contacted via phone (956) 377-5155.

Contact Information

Primary practice address
2010 Redskin Ave Ste A Donna TX 78537-3380
Phone: (956) 377-5155
Fax: (956) 377-5123
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 104430 Texas

Profile Details

NPI number 1538490826
LBN Legal business name Rodriguez, Jennifer Alicia
Credentials M.S CCC/SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 26th, 2010
Last updated Apr 2nd, 2012 - about 14 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 1538490826 NPPES
Texas MEDICAID 208350301

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