La Bella, Renee

La Bella, Renee is an individual health care provider with primary practice located at 501 7Th St , Rockford IL 61104-1242. 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. La Bella, Renee can be contacted via phone (815) 967-8070.

Contact Information

Primary practice address
501 7Th St Rockford IL 61104-1242
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 146.004319 Illinois

Profile Details

NPI number 1518474709
LBN Legal business name La Bella, Renee
Credentials CLINSCID, CCC-SLP/L
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2018
Last updated Jun 16th, 2018 - about 8 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 1518474709 NPPES
Illinois MEDICAID NA

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