Thompson, Jennifer Mica
Thompson, Jennifer Mica is an sole proprietor health care provider with primary practice located at 10300 W 103Rd St Ste 300 , Overland Park KS 66214-2658. 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. Thompson, Jennifer Mica can be contacted via phone (913) 894-1910.Contact Information
Primary practice address
10300 W 103Rd St Ste 300
Overland Park KS 66214-2658
Phone: (913) 894-1910
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 2308 | Kansas |
Profile Details
| NPI number | 1275745697 |
|---|---|
| LBN Legal business name | Thompson, Jennifer Mica |
| Credentials | M.S., CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 6th, 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 | 1275745697 | NPPES |
| Kansas | Other | 2308 | KS LICENSURE |
| Kansas | Other | 12025978 | KS LICENSURE |
| Kansas | Other | 2004029819 | KS LICENSURE |
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