Denkinger, Tia Fortes

Denkinger, Tia Fortes is an individual health care provider with primary practice located at 928 Ravenwood Way , Canton GA 30115-6421. 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. Denkinger, Tia Fortes can be contacted via phone (678) 410-9632.

Contact Information

Primary practice address
928 Ravenwood Way Canton GA 30115-6421
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SLP005743 Georgia

Profile Details

NPI number 1891856704
LBN Legal business name Denkinger, Tia Fortes
Credentials M.S., CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2006
Last updated Jan 20th, 2023 - about 2 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 1891856704 NPPES
Georgia MEDICAID 585301787A

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