Ely, Lara Gabrielle
Ely, Lara Gabrielle is an sole proprietor health care provider with primary practice located at 2400 N Carroll Ave , Southlake TX 76092-3105. 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. Ely, Lara Gabrielle can be contacted via phone (817) 949-8400.Contact Information
Primary practice address
2400 N Carroll Ave
Southlake TX 76092-3105
Phone: (817) 949-8400
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 116742 | Texas |
Profile Details
| NPI number | 1093443715 |
|---|---|
| LBN Legal business name | Ely, Lara Gabrielle |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 10th, 2022 |
| Last updated | Jul 26th, 2023 - about 2 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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