Rosenthal-Dibb, Jennifer L

Rosenthal-Dibb, Jennifer L is an individual health care provider with primary practice located at 4602 Cumberland Rd , Fayetteville NC 28306-2412. 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. Rosenthal-Dibb, Jennifer L can be contacted via phone (910) 423-5622.

Contact Information

Primary practice address
4602 Cumberland Rd Fayetteville NC 28306-2412
Phone: (910) 423-5622
Fax: (910) 423-5538
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 3200 North Carolina

Profile Details

NPI number 1225019094
LBN Legal business name Rosenthal-Dibb, Jennifer L
Credentials MS CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2005
Last updated Mar 15th, 2021 - about 5 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 1225019094 NPPES
North Carolina MEDICAID 7464046
North Carolina Other 1156E

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