Gertz, Thea Gail
Gertz, Thea Gail is an sole proprietor health care provider with primary practice located at 306 Bangor Rd , Bala Cynwyd PA 19004-2804. 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. Gertz, Thea Gail can be contacted via phone (610) 667-5461.Contact Information
Primary practice address
306 Bangor Rd
Bala Cynwyd PA 19004-2804
Phone: (610) 667-5461
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SL000629L | Pennsylvania |
Profile Details
| NPI number | 1396964672 |
|---|---|
| LBN Legal business name | Gertz, Thea Gail |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 24th, 2007 |
| Last updated | Jul 10th, 2008 - 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 | 1396964672 | NPPES |
| Pennsylvania | MEDICAID | 1000053310011 |
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