Deloach, Ralph Smith

Deloach, Ralph Smith is an individual health care provider with primary practice located at 3615 Braselton Hwy Suite 103, Dacula GA 30019-5906. He recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as his primary health care specialty. Deloach, Ralph Smith can be contacted via phone (678) 377-9634.

Contact Information

Primary practice address
3615 Braselton Hwy Suite 103 Dacula GA 30019-5906
Phone: (678) 377-9634
Fax: (678) 377-9609
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SLP004677 Georgia

Profile Details

NPI number 1730255035
LBN Legal business name Deloach, Ralph Smith
Credentials M.ED.,CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2006
Last updated Apr 7th, 2020 - about 6 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 1730255035 NPPES
Georgia MEDICAID 10035715
Georgia MEDICAID 305500
Georgia Other 52813029-001

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