Raby, Glenda Ann
Raby, Glenda Ann is an sole proprietor health care provider with primary practice located at 1118 Fairfield Rd , Mount Vernon IL 62864-5726. 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. Raby, Glenda Ann can be contacted via phone (618) 244-8079.Contact Information
Primary practice address
1118 Fairfield Rd
Mount Vernon IL 62864-5726
Phone: (618) 244-8079
Fax: (618) 244-8078
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | Illinois |
Profile Details
| NPI number | 1154830032 |
|---|---|
| LBN Legal business name | Raby, Glenda Ann |
| Credentials | MS., CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 24th, 2017 |
| Last updated | Sep 24th, 2017 - about 9 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 | 1154830032 | NPPES |
| Illinois | MEDICAID | 16099017884 |
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