Henry, Alyssa Martin
Henry, Alyssa Martin is an individual health care provider with primary practice located at 340 E Jackson St , Gate City VA 24251-3526. 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. Henry, Alyssa Martin can be contacted via phone (276) 386-6118.Contact Information
Primary practice address
340 E Jackson St
Gate City VA 24251-3526
Phone: (276) 386-6118
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 2202008308 | Virginia |
Profile Details
| NPI number | 1417465246 |
|---|---|
| LBN Legal business name | Henry, Alyssa Martin |
| Credentials | M.S., CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 15th, 2018 |
| Last updated | Mar 17th, 2018 - about 7 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 | 1417465246 | NPPES |
| Virginia | MEDICAID | 2202008308 |
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