Craven, Lisanne Simms
Craven, Lisanne Simms is an sole proprietor health care provider with primary practice located at 9931 Forest Green Blvd , Louisville KY 40223-5123. 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. Craven, Lisanne Simms can be contacted via phone (502) 588-0750.Contact Information
Primary practice address
9931 Forest Green Blvd
Louisville KY 40223-5123
Phone: (502) 588-0750
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 0405 | Kentucky |
Profile Details
| NPI number | 1699901637 |
|---|---|
| LBN Legal business name | Craven, Lisanne Simms |
| Credentials | M.S. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 4th, 2009 |
| Last updated | Aug 24th, 2020 - about 5 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 | 1699901637 | NPPES |
| Kentucky | MEDICAID | 7100321590 |
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