Deatherage, Cecilia Scott

Deatherage, Cecilia Scott is an sole proprietor health care provider with primary practice located at 37041 Rafie St , Soldotna AK 99669-6506. 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. Deatherage, Cecilia Scott can be contacted via phone (907) 252-1567.

Contact Information

Primary practice address
37041 Rafie St Soldotna AK 99669-6506
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 201 Alaska

Profile Details

NPI number 1215116645
LBN Legal business name Deatherage, Cecilia Scott
Credentials M.S,,CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 2nd, 2007
Last updated Nov 2nd, 2007 - about 19 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 1215116645 NPPES
Alaska Other 201 STATE OCCUPATIONAL LIC.

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