Homer, Beverly Louise

Homer, Beverly Louise is an individual health care provider with primary practice located at 401 S 400 E Beverly Homer Mountain Land Rehabilitation, Bountiful UT 84010. 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. Homer, Beverly Louise can be contacted via phone (801) 397-8151.

Contact Information

Primary practice address
401 S 400 E Beverly Homer Mountain Land Rehabilitation Bountiful UT 84010
Phone: (801) 397-8151
Fax: (801) 397-8051
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 5870932-4102 Utah

Profile Details

NPI number 1306910971
LBN Legal business name Homer, Beverly Louise
Credentials MS CCC SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2006
Last updated Jul 8th, 2007 - about 17 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 1306910971 NPPES
Utah MEDICAID D6276

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