Mello, Stephanie L
Mello, Stephanie L is an sole proprietor health care provider with primary practice located at 124 Hammond Dr , Canton GA 30114-6558. 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. Mello, Stephanie L can be contacted via phone (678) 492-0400.Contact Information
Primary practice address
124 Hammond Dr
Canton GA 30114-6558
Phone: (678) 492-0400
Fax: (678) 493-2052
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SLP006259 | Georgia |
Profile Details
| NPI number | 1144391319 |
|---|---|
| LBN Legal business name | Mello, Stephanie L |
| Credentials | MA CCC SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 10th, 2006 |
| Last updated | Sep 25th, 2019 - about 7 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 | 1144391319 | NPPES |
| Georgia | MEDICAID | 693050591D |
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