Humphrey, Mallory Nichole
Humphrey, Mallory Nichole is an individual health care provider with primary practice located at 21000 E 12 Mile Rd Ste 111 , Saint Clair Shores MI 48081-1156. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Humphrey, Mallory Nichole can be contacted via phone (586) 779-7610.Contact Information
Primary practice address
21000 E 12 Mile Rd Ste 111
Saint Clair Shores MI 48081-1156
Phone: (586) 779-7610
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | 1601001020 | Michigan |
Profile Details
| NPI number | 1881269074 |
|---|---|
| LBN Legal business name | Humphrey, Mallory Nichole |
| Credentials | AUD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 21st, 2021 |
| Last updated | Jul 15th, 2022 - about 4 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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