Fonseca, Alla
Fonseca, Alla is an individual health care provider with primary practice located at 14 Woodford Ln , Palm Coast FL 32164-7927. 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. Fonseca, Alla can be contacted via phone (917) 579-2964.Contact Information
Primary practice address
14 Woodford Ln
Palm Coast FL 32164-7927
Phone: (917) 579-2964
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SA7988 | Florida |
Profile Details
| NPI number | 1841476314 |
|---|---|
| LBN Legal business name | Fonseca, Alla |
| Credentials | M.A. CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 15th, 2008 |
| Last updated | Apr 16th, 2019 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841476314 | NPPES |
| Florida | MEDICAID | 892483000 |
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