Speller, Carmen Marie
Speller, Carmen Marie is an individual health care provider with primary practice located at 1411 N Fairfield Rd , Beavercreek OH 45432-2637. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Speller, Carmen Marie can be contacted via phone (937) 426-2686.Contact Information
Primary practice address
1411 N Fairfield Rd
Beavercreek OH 45432-2637
Phone: (937) 426-2686
Fax: (937) 426-6230
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | C.1700428 | Ohio |
Profile Details
| NPI number | 1265962161 |
|---|---|
| LBN Legal business name | Speller, Carmen Marie |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2017 |
| Last updated | Jan 10th, 2018 - about 8 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 | 1265962161 | NPPES |
| Ohio | Other | C.1700428 | LPC |
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