Moeller, Debra Marsico

Moeller, Debra Marsico is an sole proprietor health care provider with primary practice located at 739 Turkey Trott Trl , Richmond Hill GA 31324-5818. 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. Moeller, Debra Marsico can be contacted via phone (912) 727-2279.

Contact Information

Primary practice address
739 Turkey Trott Trl Richmond Hill GA 31324-5818
Fax: (912) 727-2279
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 001136 Georgia

Profile Details

NPI number 1447425756
LBN Legal business name Moeller, Debra Marsico
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 28th, 2008
Last updated Apr 28th, 2008 - about 18 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 1447425756 NPPES
Georgia MEDICAID 401046937A

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