Bevill, Lisa F.
Bevill, Lisa F. is an individual health care provider with primary practice located at 540 Hemlock St , Macon GA 31201-3202. She recently has 3 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist, Speech, Language and Hearing Service Providers / Assistive Technology Practitioner, Speech, Language and Hearing Service Providers / Assistive Technology Supplier. Speech, Language and Hearing Service Providers / Audiologist is her primary health care specialty. Bevill, Lisa F. can be contacted via phone (478) 743-8953.Contact Information
Primary practice address
540 Hemlock St
Macon GA 31201-3202
Phone: (478) 743-8953
Fax: (478) 743-1963
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | ||
| Speech, Language and Hearing Service Providers / Assistive Technology Practitioner | 231HA2400X | Georgia | |
| Speech, Language and Hearing Service Providers / Assistive Technology Supplier | 231HA2500X | Georgia |
Profile Details
| NPI number | 1598703126 |
|---|---|
| LBN Legal business name | Bevill, Lisa F. |
| Credentials | MCD,CCC-A |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 4th, 2006 |
| Last updated | Dec 15th, 2009 - about 17 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 | 1598703126 | NPPES |
| Georgia | MEDICAID | 000767214A |
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