Individual provider · Type 1 NPI

Jessica Van Der Haegen, BS

Speech-Language Assistant · Roseville, CA

NPI number 1962002170 Active

Practice location

628 Royer St
Roseville, CA 95678-3249

Call (530) 391-8670 Map

Other practice locations

  • 9755 Lincoln Village Dr, Sacramento, CA 95827-3334 · (916) 995-5518

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XNone listed
Speech-Language Assistant Primary 2355S0801X8440 (CA)

Speech-Language Assistant: Definition to come...

2 other providers at this address

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About NPI 1962002170

Jessica Van Der Haegen, BS's National Provider Identifier is 1962002170, issued on Oct 27, 2020. The primary taxonomy on file is Speech-Language Assistant (2355S0801X), and the practice location is in Roseville, CA. The record was last updated on Aug 20, 2024.