Theeck, Jaclyn Louise
Theeck, Jaclyn Louise is an sole proprietor health care provider with primary practice located at 301 Sun Terrace Ct , Palm Beach Gardens FL 33403-1188. 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. Theeck, Jaclyn Louise can be contacted via phone (561) 776-8612.Contact Information
Primary practice address
301 Sun Terrace Ct
Palm Beach Gardens FL 33403-1188
Phone: (561) 776-8612
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SA 7555 | Florida |
Profile Details
| NPI number | 1861531188 |
|---|---|
| LBN Legal business name | Theeck, Jaclyn Louise |
| Credentials | M.A. CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 5th, 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 | 1861531188 | NPPES |
| Florida | MEDICAID | 8895171-00 |
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