Gormally, Michelle
Gormally, Michelle is an sole proprietor health care provider with primary practice located at 4411 Suwanee Dam Rd Ste 455 , Suwanee GA 30024-8706. 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. Gormally, Michelle can be contacted via phone (678) 714-6708.Contact Information
Primary practice address
4411 Suwanee Dam Rd Ste 455
Suwanee GA 30024-8706
Phone: (678) 714-6708
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SLP003677 | Georgia |
Profile Details
| NPI number | 1548472129 |
|---|---|
| LBN Legal business name | Gormally, Michelle |
| Credentials | M.A., CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 4th, 2007 |
| Last updated | Mar 16th, 2023 - about 3 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 | 1548472129 | NPPES |
| Georgia | MEDICAID | 000793185A |
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