Provider Demographics
NPI:1982227096
Name:HINSON, JAYLYN MICHELLE
Entity Type:Individual
Prefix:
First Name:JAYLYN
Middle Name:MICHELLE
Last Name:HINSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28936 OLD TOWN FRONT ST STE 104
Mailing Address - Street 2:
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92590-2890
Mailing Address - Country:US
Mailing Address - Phone:951-235-4332
Mailing Address - Fax:
Practice Address - Street 1:616 BROOKHAVEN DR
Practice Address - Street 2:
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92879-8578
Practice Address - Country:US
Practice Address - Phone:951-235-4332
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-22
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA54932355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant