Aultman, Stephanie Machelle

Aultman, Stephanie Machelle is an sole proprietor health care provider with primary practice located at 100 W Front St , Hattiesburg MS 39401-3460. 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. Aultman, Stephanie Machelle can be contacted via phone (601) 270-6968.

Contact Information

Primary practice address
100 W Front St Hattiesburg MS 39401-3460
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X S2122 Mississippi

Profile Details

NPI number 1194864249
LBN Legal business name Aultman, Stephanie Machelle
Credentials M.S. CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 5th, 2007
Last updated Jul 8th, 2007 - about 18 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 1194864249 NPPES
Mississippi MEDICAID 00122690

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