Price, Karen Detlefsen
Price, Karen Detlefsen is an sole proprietor health care provider with primary practice located at 200 Ivy Creek Dr , Loganville GA 30052-3119. 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. Price, Karen Detlefsen can be contacted via phone (404) 883-6913.Contact Information
Primary practice address
200 Ivy Creek Dr
Loganville GA 30052-3119
Phone: (404) 883-6913
Fax: (770) 554-0156
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SLP004265 | Georgia |
Profile Details
| NPI number | 1497748586 |
|---|---|
| LBN Legal business name | Price, Karen Detlefsen |
| Credentials | MA CCC/SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 24th, 2005 |
| Last updated | Oct 26th, 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 | 1497748586 | NPPES |
| Georgia | MEDICAID | 000785793B |
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