Ellsworth, Tina Anderson
Ellsworth, Tina Anderson is an sole proprietor health care provider with primary practice located at 805 Nob Ridge Dr , Marietta GA 30064-5736. 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. Ellsworth, Tina Anderson can be contacted via phone (770) 429-0694.Contact Information
Primary practice address
805 Nob Ridge Dr
Marietta GA 30064-5736
Phone: (770) 429-0694
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SLP006703 | Georgia |
Profile Details
| NPI number | 1811188626 |
|---|---|
| LBN Legal business name | Ellsworth, Tina Anderson |
| Credentials | M.S. ED CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 6th, 2007 |
| Last updated | Aug 6th, 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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