Glenn, Doretha D.
Glenn, Doretha D. is an sole proprietor health care provider with primary practice located at 501 Saint George Rd , Fort Mill SC 29708-6973. 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. Glenn, Doretha D. can be contacted via phone (803) 517-1382.Contact Information
Primary practice address
501 Saint George Rd
Fort Mill SC 29708-6973
Phone: (803) 517-1382
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 6329 | North Carolina |
Profile Details
| NPI number | 1700926664 |
|---|---|
| LBN Legal business name | Glenn, Doretha D. |
| Credentials | SLP,MSP-CCC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 7th, 2007 |
| Last updated | Jul 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700926664 | NPPES |
| North Carolina | MEDICAID | 7412292 |
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