Rand, Virginia

Rand, Virginia is an individual health care provider with primary practice located at 2622 Mckinnon Dr , Decatur GA 30030-4539. 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. Rand, Virginia can be contacted via phone (678) 429-3790.

Contact Information

Primary practice address
2622 Mckinnon Dr Decatur GA 30030-4539
Fax: (678) 279-5430
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SLP005762 Georgia

Profile Details

NPI number 1881030971
LBN Legal business name Rand, Virginia
Credentials MED CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2013
Last updated Nov 21st, 2019 - about 7 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 1881030971 NPPES
Georgia MEDICAID 764935686C

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