Benham, Lorelei
Benham, Lorelei is an sole proprietor health care provider with primary practice located at 4151 Gunnin Rd , Peachtree Corners GA 30092-1951. 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. Benham, Lorelei can be contacted via phone (678) 687-0119.Contact Information
Primary practice address
4151 Gunnin Rd
Peachtree Corners GA 30092-1951
Phone: (678) 687-0119
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SLP009088 | Georgia |
Profile Details
| NPI number | 1801514948 |
|---|---|
| LBN Legal business name | Benham, Lorelei |
| Credentials | CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 15th, 2022 |
| Last updated | Aug 15th, 2022 - about 3 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 | 1801514948 | NPPES |
| Georgia | Other | SLP009088 | GEORGIA LICENSE |
| Georgia | Other | 14086292 | GEORGIA LICENSE |
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