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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790806446 NPPES
Florida MEDICAID 891172000

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