Grimes, Teresa
Grimes, Teresa is an sole proprietor health care provider with primary practice located at 806 Fox Valley Dr , Longwood FL 32779-2510. 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. Grimes, Teresa can be contacted via phone (407) 463-5139.Contact Information
Primary practice address
806 Fox Valley Dr
Longwood FL 32779-2510
Phone: (407) 463-5139
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SA 13258 | Florida |
Profile Details
| NPI number | 1194123299 |
|---|---|
| LBN Legal business name | Grimes, Teresa |
| Credentials | M.S., CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 5th, 2014 |
| Last updated | Dec 5th, 2014 - about 12 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 | 1194123299 | NPPES |
| Florida | Other | SA 13258 | FL LICENSE |
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