Berthelot, Glenda

Berthelot, Glenda is an sole proprietor health care provider with primary practice located at 1200 Lake Hearn Dr Ne Suite 250, Atlanta GA 30319-1415. 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. Berthelot, Glenda can be contacted via phone (404) 943-1007.

Contact Information

Primary practice address
1200 Lake Hearn Dr Ne Suite 250 Atlanta GA 30319-1415
Phone: (404) 943-1007
Fax: (678) 802-7334
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SLP0010070 Georgia

Profile Details

NPI number 1336495605
LBN Legal business name Berthelot, Glenda
Credentials SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 24th, 2012
Last updated Jul 24th, 2012 - about 14 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 1336495605 NPPES
Georgia Other 027299208 DRIVERS LICENSE

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