Bass, Mary Ellen

Bass, Mary Ellen is an sole proprietor health care provider with primary practice located at 255 Se 7Th Ave Suite 2, Crystal River FL 34429-4891. 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. Bass, Mary Ellen can be contacted via phone (352) 795-4117.

Contact Information

Primary practice address
255 Se 7Th Ave Suite 2 Crystal River FL 34429-4891
Phone: (352) 795-4117
Fax: (352) 563-2438
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SA3409 Florida

Profile Details

NPI number 1992096895
LBN Legal business name Bass, Mary Ellen
Credentials SPEECH THERAPIST
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 26th, 2011
Last updated Apr 26th, 2011 - about 14 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 1992096895 NPPES
Florida Other SA3406 SPEECH THERAPY LICIENCE

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