Carlisle, Yelena Zoya

Carlisle, Yelena Zoya is an sole proprietor health care provider with primary practice located at 4811 Village Sq Nw , Acworth GA 30102-3464. 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. Carlisle, Yelena Zoya can be contacted via phone (404) 665-7804.

Contact Information

Primary practice address
4811 Village Sq Nw Acworth GA 30102-3464
Phone: (404) 665-7804
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SLP006410 Georgia

Profile Details

NPI number 1679659650
LBN Legal business name Carlisle, Yelena Zoya
Credentials M.S. CCC-SLP, CLC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 31st, 2006
Last updated Sep 7th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679659650 NPPES
Georgia MEDICAID 850584527A
Georgia MEDICAID 85058427A

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