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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861531188 NPPES
Florida MEDICAID 8895171-00

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