Struble, Amy
Struble, Amy is an sole proprietor health care provider with primary practice located at 3354 Greystone Way , Valdosta GA 31605-1096. 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. Struble, Amy can be contacted via phone (229) 244-3552.Contact Information
Primary practice address
3354 Greystone Way
Valdosta GA 31605-1096
Phone: (229) 244-3552
Fax: (229) 244-7030
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 004442 | Georgia |
Profile Details
| NPI number | 1083793764 |
|---|---|
| LBN Legal business name | Struble, Amy |
| Credentials | CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 3rd, 2006 |
| Last updated | May 25th, 2022 - about 4 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 | 1083793764 | NPPES |
| Georgia | MEDICAID | 418506434B |
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