Mcclure Floyd, Dale R
Mcclure Floyd, Dale R is an individual health care provider with primary practice located at 215 Hawthorne Park Suite B, Athens GA 30606-2164. 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. Mcclure Floyd, Dale R can be contacted via phone (706) 310-9241.Contact Information
Primary practice address
215 Hawthorne Park Suite B
Athens GA 30606-2164
Phone: (706) 310-9241
Fax: (706) 310-9276
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SLP005228 | Georgia |
Profile Details
| NPI number | 1356404610 |
|---|---|
| LBN Legal business name | Mcclure Floyd, Dale R |
| Credentials | CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 18th, 2006 |
| Last updated | Sep 13th, 2010 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356404610 | NPPES |
| Georgia | MEDICAID | 372422808A | |
| Georgia | Other | 52991515 001 | |
| Georgia | Other | 7097852 | |
| Georgia | MEDICAID | 519782337A |
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