Jessica Van Der Haegen, BS
Specialist/Technologist, Speech-Language Assistant in Roseville, CA. Individual provider (NPI-1).
NPI number1962002170
StatusActive
Last updated in NPPESAug 20, 2024
Details
- NPI
- 1962002170
- Entity type
- Individual (NPI-1)
- Name
- Jessica Van Der Haegen
- Credential
- BS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 27, 2020
- Certification date
- Aug 20, 2024
- Last updated
- Aug 20, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2355S0801X | Specialist/Technologist, Speech-Language Assistant | 8440 | CA | Yes |
| 106S00000X | Behavior Technician | – | – |
Practice location
628 Royer StRoseville, CA 95678-3249
Phone 530-391-8670
Mailing address
628 Royer StRoseville, CA 95678-3249
Phone 530-391-8670
Other practice locations
9755 Lincoln Village Dr
Sacramento, CA 95827-3334
Sacramento, CA 95827-3334
Phone 916-995-5518
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Other Speech-Language Assistant providers in Roseville, CA
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- Madelyn BrabonNPI 1518854934
- Tiffany Dominguez, BS, SLPANPI 1174249205
- Lindsay Graham, BS SLPANPI 1417180100
- Jenae Nikkole HaynesNPI 1942971361
- Anna Nicole MucherNPI 1952058018
- Rachel OneyNPI 1770395204
- Casey Pieczynski, BANPI 1841928918
- Iante RoyNPI 1316676281
All 14 Speech-Language Assistant providers in Roseville · All 6,478 providers in Roseville
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