Lord, Beverly

Lord, Beverly is an sole proprietor health care provider with primary practice located at 1002 S Dillard St Ste 106 , Winter Garden FL 34787-3991. 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. Lord, Beverly can be contacted via phone (407) 877-0029.

Contact Information

Primary practice address
1002 S Dillard St Ste 106 Winter Garden FL 34787-3991
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SA17994 Florida

Profile Details

NPI number 1174183347
LBN Legal business name Lord, Beverly
Credentials M.A., CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 19th, 2019
Last updated Apr 26th, 2021 - about 5 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 1174183347 NPPES
Florida MEDICAID 103628100

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