Fuller, Celina Rae
Fuller, Celina Rae is an sole proprietor health care provider with primary practice located at 1974 W Shore Rd , Salisbury VT 05769-9740. 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. Fuller, Celina Rae can be contacted via phone (802) 352-4727.Contact Information
Primary practice address
1974 W Shore Rd
Salisbury VT 05769-9740
Phone: (802) 352-4727
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 8045244 | Vermont |
Profile Details
| NPI number | 1184902629 |
|---|---|
| LBN Legal business name | Fuller, Celina Rae |
| Credentials | CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 2nd, 2011 |
| Last updated | Aug 2nd, 2011 - about 15 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 | 1184902629 | NPPES |
| Other | 12149036 | ASHA CERTIFICATION |
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