Small, Jenna
Small, Jenna is an individual health care provider with primary practice located at 25615 N Ranch Gate Rd , Scottsdale AZ 85255-2141. 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. Small, Jenna can be contacted via phone (970) 744-1069.Contact Information
Primary practice address
25615 N Ranch Gate Rd
Scottsdale AZ 85255-2141
Phone: (970) 744-1069
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SLP9512 | Arizona |
Profile Details
| NPI number | 1992188262 |
|---|---|
| LBN Legal business name | Small, Jenna |
| Credentials | M.A. CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 6th, 2015 |
| Last updated | May 8th, 2017 - about 9 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 | 1992188262 | NPPES |
| Arizona | Other | SLP9512 | DEPARTMENT OF HEALTH SERVICES LICENSE |
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