Gray, Teresa Lynn

Gray, Teresa Lynn is an sole proprietor health care provider with primary practice located at 7110 Jordan Dr , Rapid City SD 57702-8738. 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. Gray, Teresa Lynn can be contacted via phone (605) 342-4412.

Contact Information

Primary practice address
7110 Jordan Dr Rapid City SD 57702-8738
Fax: (605) 342-4211
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 50972-02 South Dakota

Profile Details

NPI number 1275721474
LBN Legal business name Gray, Teresa Lynn
Credentials M.A. CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 12th, 2007
Last updated Oct 12th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275721474 NPPES
South Dakota Other 50972-02 SD-DOE
South Dakota Other 01106843 SD-DOE

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