Pruitt, Rebecca

Pruitt, Rebecca is an individual health care provider with primary practice located at 4319 S Lee St , Buford GA 30518-5747. 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. Pruitt, Rebecca can be contacted via phone (678) 288-9770.

Contact Information

Primary practice address
4319 S Lee St Buford GA 30518-5747
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SLP009408 Georgia

Profile Details

NPI number 1891241253
LBN Legal business name Pruitt, Rebecca
Credentials M.S., CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 26th, 2016
Last updated Aug 26th, 2016 - about 10 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 1891241253 NPPES
Georgia Other SLP009408 GEORGIA SECRETARY OF STATE

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