Gay, Amanda Lynn
Gay, Amanda Lynn is an sole proprietor health care provider with primary practice located at 102 Medical Park , Hattiesburg MS 39401-9080. 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. Gay, Amanda Lynn can be contacted via phone (601) 261-5159.Contact Information
Primary practice address
102 Medical Park
Hattiesburg MS 39401-9080
Phone: (601) 261-5159
Fax: (601) 579-5240
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | S2814 | Mississippi |
Profile Details
| NPI number | 1831491687 |
|---|---|
| LBN Legal business name | Gay, Amanda Lynn |
| Credentials | SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 30th, 2010 |
| Last updated | Sep 13th, 2021 - about 5 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 | 1831491687 | NPPES |
| Mississippi | MEDICAID | 03689700 |
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