Lary, Andrea
Lary, Andrea is an sole proprietor health care provider with primary practice located at 3803 Palmetto Dr , Myrtle Beach SC 29577-5944. 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. Lary, Andrea can be contacted via phone (843) 455-7505.Contact Information
Primary practice address
3803 Palmetto Dr
Myrtle Beach SC 29577-5944
Phone: (843) 455-7505
Fax: (866) 668-9946
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 692 | South Carolina |
Profile Details
| NPI number | 1508824061 |
|---|---|
| LBN Legal business name | Lary, Andrea |
| Credentials | CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 3rd, 2006 |
| Last updated | Nov 14th, 2012 - about 13 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 | 1508824061 | NPPES |
| North Carolina | MEDICAID | 7412289 | |
| North Carolina | MEDICAID | SA0166 |
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