Chandler, Glenda Shane

Chandler, Glenda Shane is an sole proprietor health care provider with primary practice located at 285 Holmes Pittman Rd , Foxworth MS 39483-3166. 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. Chandler, Glenda Shane can be contacted via phone (601) 736-3111.

Contact Information

Primary practice address
285 Holmes Pittman Rd Foxworth MS 39483-3166
Phone: (601) 736-3111
Fax: (601) 444-5036
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 108839 Mississippi

Profile Details

NPI number 1518303239
LBN Legal business name Chandler, Glenda Shane
Credentials M.S., CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 21st, 2013
Last updated May 21st, 2013 - about 13 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 1518303239 NPPES
Mississippi Other S3247 MISSISSIPPI DEPT OF HEALTH

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