Eady, Lisa J

Eady, Lisa J is an individual health care provider with primary practice located at 121B Lee St , Carrollton GA 30117-3314. 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. Eady, Lisa J can be contacted via phone (770) 830-8622.

Contact Information

Primary practice address
121B Lee St Carrollton GA 30117-3314
Phone: (770) 830-8622
Fax: (770) 832-9031
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SLP007179 Georgia

Profile Details

NPI number 1346574928
LBN Legal business name Eady, Lisa J
Credentials M. ED. CCC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2009
Last updated Oct 21st, 2009 - about 17 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 1346574928 NPPES
Georgia MEDICAID 184070266A

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