Siegenthaler, Amy Brock

Siegenthaler, Amy Brock is an individual health care provider with primary practice located at 505 Rhythm St , Summerville SC 29486-5443. 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. Siegenthaler, Amy Brock can be contacted via phone (843) 819-2948.

Contact Information

Primary practice address
505 Rhythm St Summerville SC 29486-5443
Fax: (843) 793-3777
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 3539 South Carolina

Profile Details

NPI number 1255460903
LBN Legal business name Siegenthaler, Amy Brock
Credentials M.A. CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 5th, 2007
Last updated Jan 30th, 2023 - about 3 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 1255460903 NPPES
South Carolina MEDICAID SA0534

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