Wade, Dortheen Douglas
Wade, Dortheen Douglas is an individual health care provider with primary practice located at 7305 Green Ash Dr , Olive Branch MS 38654-4383. 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. Wade, Dortheen Douglas can be contacted via phone (901) 870-7997.Contact Information
Primary practice address
7305 Green Ash Dr
Olive Branch MS 38654-4383
Phone: (901) 870-7997
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 0000003190 | Tennessee |
Profile Details
| NPI number | 1932403078 |
|---|---|
| LBN Legal business name | Wade, Dortheen Douglas |
| Credentials | M.S., CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 4th, 2011 |
| Last updated | Jan 4th, 2011 - about 15 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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