Bracken, Molly
Bracken, Molly is an individual health care provider with primary practice located at 311 Cooper Rd , Loganville GA 30052-4976. 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. Bracken, Molly can be contacted via phone (678) 205-5437.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SLP005359 | Georgia |
Profile Details
| NPI number | 1437235488 |
|---|---|
| LBN Legal business name | Bracken, Molly |
| Credentials | Master of Arts (MA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 31st, 2006 |
| Last updated | Sep 22nd, 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 | 1437235488 | NPPES |
| Georgia | MEDICAID | 009945728A |
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