Stevens, Jennifer Jo

Stevens, Jennifer Jo is an individual health care provider with primary practice located at 820 Countryside Ln , Columbus IN 47201-8906. 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. Stevens, Jennifer Jo can be contacted via phone (812) 343-1823.

Contact Information

Primary practice address
820 Countryside Ln Columbus IN 47201-8906
Phone: (812) 343-1823
Fax: (812) 342-0657
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 22003025A Indiana

Profile Details

NPI number 1962522417
LBN Legal business name Stevens, Jennifer Jo
Credentials M.A. CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2007
Last updated Jul 9th, 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 1962522417 NPPES
Indiana Other 22003025A STATE LICENSE NUMBER
Indiana MEDICAID 200618760 STATE LICENSE NUMBER

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