Lee, Katrina Shivaun

Lee, Katrina Shivaun is an sole proprietor health care provider with primary practice located at 3101 Fayetteville Rd Suite E, Lumberton NC 28358-2775. 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. Lee, Katrina Shivaun can be contacted via phone (910) 737-6300.

Contact Information

Primary practice address
3101 Fayetteville Rd Suite E Lumberton NC 28358-2775
Phone: (910) 737-6300
Fax: (910) 737-6333
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X NC-5040 North Carolina

Profile Details

NPI number 1891859161
LBN Legal business name Lee, Katrina Shivaun
Credentials SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 21st, 2006
Last updated Apr 29th, 2009 - about 17 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 1891859161 NPPES
North Carolina MEDICAID 7411871
North Carolina Other NC-5040

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