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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780251983 NPPES
Michigan Other 7151013455 STATE OF MICHIGAN- DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS

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