Brown, Mary Ellen-Mccormick
Brown, Mary Ellen-Mccormick is an sole proprietor health care provider with primary practice located at 4640 Martin Rd , Cumming GA 30041-5542. 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. Brown, Mary Ellen-Mccormick can be contacted via phone (678) 679-1261.Contact Information
Primary practice address
4640 Martin Rd
Cumming GA 30041-5542
Phone: (678) 679-1261
Fax: (678) 250-9010
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SLP007280 | Georgia |
Profile Details
| NPI number | 1053632513 |
|---|---|
| LBN Legal business name | Brown, Mary Ellen-Mccormick |
| Credentials | MS, CCC-SLP, CRDI |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 18th, 2010 |
| Last updated | Aug 15th, 2022 - about 4 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 | 1053632513 | NPPES |
| Georgia | MEDICAID | 00112935A |
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