Weiss, Shelley Jan
Weiss, Shelley Jan is an sole proprietor health care provider with primary practice located at 815 Centre St #5, Jamaica Plain MA 02130-2735. 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. Weiss, Shelley Jan can be contacted via phone (617) 983-1999.Contact Information
Primary practice address
815 Centre St #5
Jamaica Plain MA 02130-2735
Phone: (617) 983-1999
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 3755 | Massachusetts |
Profile Details
| NPI number | 1588718548 |
|---|---|
| LBN Legal business name | Weiss, Shelley Jan |
| Credentials | MS, CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 23rd, 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 | 1588718548 | NPPES |
| Massachusetts | Other | 73710076 | PROVIDER # BCBS |
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