Giesbrecht, Mary Kathleen

Giesbrecht, Mary Kathleen is an sole proprietor health care provider with primary practice located at 102 Lake View Ct , Kingsland GA 31548-7809. 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. Giesbrecht, Mary Kathleen can be contacted via phone (912) 617-1037.

Contact Information

Primary practice address
102 Lake View Ct Kingsland GA 31548-7809
Phone: (912) 617-1037
Fax: (912) 576-2708
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SLP005854 Georgia

Profile Details

NPI number 1326045006
LBN Legal business name Giesbrecht, Mary Kathleen
Credentials SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 7th, 2005
Last updated Jul 21st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326045006 NPPES
Georgia MEDICAID 524841136C
Georgia MEDICAID 524841136A

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