Augustine, Michele
Augustine, Michele is an individual health care provider with primary practice located at 817 N. Mound St. , Nacogdoches TX 95761-4427. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Augustine, Michele can be contacted via phone (936) 564-6907.Contact Information
Primary practice address
817 N. Mound St.
Nacogdoches TX 95761-4427
Phone: (936) 564-6907
Fax: (936) 564-0509
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 16056 | Texas |
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 10656 | Texas |
Profile Details
| NPI number | 1235150061 |
|---|---|
| LBN Legal business name | Augustine, Michele |
| Credentials | CCC/SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 21st, 2006 |
| Last updated | Feb 1st, 2011 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235150061 | NPPES |
| Texas | MEDICAID | 180139102 | |
| Texas | Other | 16056 |
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