Gladwin, Lydia J

Gladwin, Lydia J is an individual health care provider with primary practice located at 5139 Us Highway 19 , New Port Richey FL 34652-3966. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Gladwin, Lydia J can be contacted via phone (727) 849-6076.

Contact Information

Primary practice address
5139 Us Highway 19 New Port Richey FL 34652-3966
Fax: (727) 848-2830
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X AY1140 Florida

Profile Details

NPI number 1679582290
LBN Legal business name Gladwin, Lydia J
Credentials AUD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2006
Last updated Oct 7th, 2008 - about 18 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 1679582290 NPPES
Florida Other 0167450 GHI
Florida MEDICAID 600388500 GHI

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