Porteus, Elizabeth Ann
Porteus, Elizabeth Ann is an individual health care provider with primary practice located at 5313 Paleo Pines Cir , Fort Pierce FL 34951-2344. 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. Porteus, Elizabeth Ann can be contacted via phone (772) 577-3158.Contact Information
Primary practice address
5313 Paleo Pines Cir
Fort Pierce FL 34951-2344
Phone: (772) 577-3158
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SL010271 | Pennsylvania |
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SA11437 | Florida |
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 05704 | Maryland |
Profile Details
| NPI number | 1407150212 |
|---|---|
| LBN Legal business name | Porteus, Elizabeth Ann |
| Credentials | M.S. CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 8th, 2011 |
| Last updated | Feb 10th, 2022 - about 4 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 | 1407150212 | NPPES |
| Maryland | MEDICAID | 039935300 | |
| Maryland | MEDICAID | 105167500 | |
| Maryland | MEDICAID | 1025554100001 |
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