Mangan, Destiny Miller
Mangan, Destiny Miller is an sole proprietor health care provider with primary practice located at 165 Ridgecrest Cir , Clayton GA 30525-4110. 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. Mangan, Destiny Miller can be contacted via phone (678) 357-5849.Contact Information
Primary practice address
165 Ridgecrest Cir
Clayton GA 30525-4110
Phone: (678) 357-5849
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | PCET003509 | Georgia |
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SLP012443 | Georgia |
Profile Details
| NPI number | 1245982289 |
|---|---|
| LBN Legal business name | Mangan, Destiny Miller |
| Credentials | M.S. CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 20th, 2022 |
| Last updated | Jan 1st, 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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