Tristan, Jazzarae

Tristan, Jazzarae is an individual health care provider with primary practice located at 900 Washington Ave Ste 602 , Waco TX 76701-1283. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Speech-Language Assistant, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Speech, Language and Hearing Service Providers / Speech-Language Pathologist is her primary health care specialty. Tristan, Jazzarae can be contacted via phone (254) 433-5301.

Contact Information

Primary practice address
900 Washington Ave Ste 602 Waco TX 76701-1283
Phone: (254) 433-5301
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Assistant 2355S0801X 38848 Texas
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 117135 Texas

Profile Details

NPI number 1427569029
LBN Legal business name Tristan, Jazzarae
Credentials CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2017
Last updated Jun 11th, 2022 - about 3 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 1427569029 NPPES
Texas Other 117135 SLP LICENSE

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