Despain, Audrey Lynn
Despain, Audrey Lynn is an sole proprietor health care provider with primary practice located at 4601 Begonia St , Victoria TX 77904-2133. 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. Despain, Audrey Lynn can be contacted via phone (361) 362-4122.Contact Information
Primary practice address
4601 Begonia St
Victoria TX 77904-2133
Phone: (361) 362-4122
Fax: (361) 433-7800
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 110259 | Texas |
Profile Details
| NPI number | 1982897195 |
|---|---|
| LBN Legal business name | Despain, Audrey Lynn |
| Credentials | SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 21st, 2007 |
| Last updated | Nov 1st, 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 | 1982897195 | NPPES |
| Texas | MEDICAID | 164704201 |
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