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Contact Information

REBECCA P JORDAN, MS, CCC/SLP
410 NEW BRIDGE STREET SUITE 10-A
JACKSONVILLE, NC28540
 Phone: 910-347-2212
 Fax: 910-347-6003
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for REBECCA P JORDAN · (Female)

NPI Number 1184893356
Status Active
Credentials MS, CCC/SLP
Entity Individual
Enumeration date 02/21/2008
Last updated 04/07/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • FL License # SA9157
  • NC License # 8814
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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