Souto, Sofia Margarita
Souto, Sofia Margarita is an individual health care provider with primary practice located at 200 S Jordan Ave , Bloomington IN 47405-7002. 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. Souto, Sofia Margarita can be contacted via phone (812) 855-7348.Contact Information
Primary practice address
200 S Jordan Ave
Bloomington IN 47405-7002
Phone: (812) 855-7348
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 22005217A | Indiana |
Profile Details
| NPI number | 1790806446 |
|---|---|
| LBN Legal business name | Souto, Sofia Margarita |
| Credentials | M.A., CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 2nd, 2007 |
| Last updated | Jan 21st, 2011 - about 14 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 | 1790806446 | NPPES |
| Florida | MEDICAID | 891172000 |
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