Friend, Tina Catherine
Friend, Tina Catherine is an sole proprietor health care provider with primary practice located at 55 Roberta Rd , Manchester GA 31816-6501. 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. Friend, Tina Catherine can be contacted via phone (706) 575-5396.Contact Information
Primary practice address
55 Roberta Rd
Manchester GA 31816-6501
Phone: (706) 575-5396
Fax: (706) 846-9238
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SLP005499 | Georgia |
Profile Details
| NPI number | 1053315895 |
|---|---|
| LBN Legal business name | Friend, Tina Catherine |
| Credentials | MCD CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 9th, 2005 |
| Last updated | Jul 9th, 2007 - about 17 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 | 1053315895 | NPPES |
| Georgia | Other | 341976 | WELLCARE CMO # |
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