Thompson, Beverly B

Thompson, Beverly B is an sole proprietor health care provider with primary practice located at 1416 Weyerhaeuser Rd , Lyons GA 30436-2608. 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. Thompson, Beverly B can be contacted via phone (912) 526-6732.

Contact Information

Primary practice address
1416 Weyerhaeuser Rd Lyons GA 30436-2608
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SLP001980 Georgia

Profile Details

NPI number 1316014616
LBN Legal business name Thompson, Beverly B
Credentials SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 29th, 2006
Last updated Jul 9th, 2007 - about 19 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 1316014616 NPPES
Georgia MEDICAID 00658369B
Georgia Other 10049370
Georgia Other 341006

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