Pidge, Sally Ray
Pidge, Sally Ray is an individual health care provider with primary practice located at 10800 Independence Pointe Pkwy Suite D, Matthews NC 28105-1753. 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. Pidge, Sally Ray can be contacted via phone (704) 708-8314.Contact Information
Primary practice address
10800 Independence Pointe Pkwy Suite D
Matthews NC 28105-1753
Phone: (704) 708-8314
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | NC2583 | North Carolina |
Profile Details
| NPI number | 1548219652 |
|---|---|
| LBN Legal business name | Pidge, Sally Ray |
| Credentials | SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 8th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1548219652 | NPPES |
| North Carolina | MEDICAID | 7411122 |
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