Smith, Jennifer Susan
Smith, Jennifer Susan is an individual health care provider with primary practice located at 450 Southern Blvd Se , Rio Rancho NM 87124-3206. 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. Smith, Jennifer Susan can be contacted via phone (505) 994-3305.Contact Information
Primary practice address
450 Southern Blvd Se
Rio Rancho NM 87124-3206
Phone: (505) 994-3305
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 2086 | New Mexico |
Profile Details
| NPI number | 1336274133 |
|---|---|
| LBN Legal business name | Smith, Jennifer Susan |
| Credentials | M.A., CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 22nd, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1336274133 | NPPES |
| New Mexico | MEDICAID | 81738889 |
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