Beach, Elyse Delphine Johnson
Beach, Elyse Delphine Johnson is an individual health care provider with primary practice located at 14153 Rick Dr , Shelby Township MI 48315-2951. 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. Beach, Elyse Delphine Johnson can be contacted via phone (586) 566-0326.Contact Information
Primary practice address
14153 Rick Dr
Shelby Township MI 48315-2951
Phone: (586) 566-0326
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 7151013455 | Michigan |
Profile Details
| NPI number | 1780251983 |
|---|---|
| LBN Legal business name | Beach, Elyse Delphine Johnson |
| Credentials | M.S., CF-SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 7th, 2021 |
| Last updated | Jun 7th, 2021 - about 5 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 | 1780251983 | NPPES |
| Michigan | Other | 7151013455 | STATE OF MICHIGAN- DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS |
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