O'Neal, Glenda K

O'Neal, Glenda K is an individual health care provider with primary practice located at 301 Louis St Suite 101, Kingsport TN 37660-5181. 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. O'Neal, Glenda K can be contacted via phone (423) 246-4600.

Contact Information

Primary practice address
301 Louis St Suite 101 Kingsport TN 37660-5181
Phone: (423) 246-4600
Fax: (423) 246-3311
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SP 1066 Tennessee
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 2202002545 Virginia

Profile Details

NPI number 1356369110
LBN Legal business name O'Neal, Glenda K
Credentials CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Jan 11th, 2011 - about 15 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 1356369110 NPPES
Tennessee Other 0138330 BCBS#
Tennessee Other 510141536 BCBS#
Tennessee MEDICAID 004978048 BCBS#

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