Lord, Henry Leo

Lord, Henry Leo is an individual health care provider with primary practice located at 7110 Jordan Drive , Rapid City SD 57702. He recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as his primary health care specialty. Lord, Henry Leo can be contacted via phone (605) 342-4412.

Contact Information

Primary practice address
7110 Jordan Drive Rapid City SD 57702
Phone: (605) 342-4412
Fax:
Website:
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Health care specialties

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

Profile Details

NPI number 1487772505
LBN Legal business name Lord, Henry Leo
Credentials CCCSLP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2007
Last updated Jun 10th, 2024 - about 2 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 1487772505 NPPES
South Dakota MEDICAID 5833510

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