Provider Demographics
NPI:1447560362
Name:JOSELYNNE JAQUES
Entity Type:Organization
Organization Name:JOSELYNNE JAQUES
Other - Org Name:HOPE THERAPIES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:JAQUES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-272-6500
Mailing Address - Street 1:10 FORTUNA W
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92620-1848
Mailing Address - Country:US
Mailing Address - Phone:714-235-3053
Mailing Address - Fax:714-384-3899
Practice Address - Street 1:10 FORTUNA W
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92620-1848
Practice Address - Country:US
Practice Address - Phone:714-235-3053
Practice Address - Fax:714-384-3899
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-13
Last Update Date:2010-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA13783235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty