Booth, Mae Denise
Booth, Mae Denise is an sole proprietor health care provider with primary practice located at 917 Hilltop Blvd , Reidsville NC 27320-3413. 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. Booth, Mae Denise can be contacted via phone (336) 613-8982.Contact Information
Primary practice address
917 Hilltop Blvd
Reidsville NC 27320-3413
Phone: (336) 613-8982
Fax: (336) 342-9838
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 3570 | North Carolina |
Profile Details
| NPI number | 1730341033 |
|---|---|
| LBN Legal business name | Booth, Mae Denise |
| Credentials | M.ED/CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 27th, 2008 |
| Last updated | Jun 27th, 2008 - about 18 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 | 1730341033 | NPPES |
| North Carolina | MEDICAID | 7411538 |
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