Gormally, Michelle

Gormally, Michelle is an sole proprietor health care provider with primary practice located at 4411 Suwanee Dam Rd Ste 455 , Suwanee GA 30024-8706. 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. Gormally, Michelle can be contacted via phone (678) 714-6708.

Contact Information

Primary practice address
4411 Suwanee Dam Rd Ste 455 Suwanee GA 30024-8706
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SLP003677 Georgia

Profile Details

NPI number 1548472129
LBN Legal business name Gormally, Michelle
Credentials M.A., CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 4th, 2007
Last updated Mar 16th, 2023 - about 2 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 1548472129 NPPES
Georgia MEDICAID 000793185A

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