Deroy, Amanda
Deroy, Amanda is an sole proprietor health care provider with primary practice located at 470 S Hill St , Buford GA 30518-3220. 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. Deroy, Amanda can be contacted via phone (678) 482-6100.Contact Information
Primary practice address
470 S Hill St
Buford GA 30518-3220
Phone: (678) 482-6100
Fax: (770) 932-5684
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SLP004505 | Georgia |
Profile Details
| NPI number | 1760694574 |
|---|---|
| LBN Legal business name | Deroy, Amanda |
| Credentials | SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 4th, 2007 |
| Last updated | May 12th, 2015 - about 11 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 | 1760694574 | NPPES |
| Georgia | Other | SLP004505 | SPEECH THERAPY LICENSE |
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