Lee, Amanda W.
Lee, Amanda W. is an sole proprietor health care provider with primary practice located at 9565 Highway 78 Building 700 Suite 102, Ladson SC 29456. 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. Lee, Amanda W. can be contacted via phone (888) 510-6369.Contact Information
Primary practice address
9565 Highway 78 Building 700 Suite 102
Ladson SC 29456
Phone: (888) 510-6369
Fax: (888) 510-9156
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 3759 | South Carolina |
Profile Details
NPI number | 1316182249 |
---|---|
LBN Legal business name | Lee, Amanda W. |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 5th, 2008 |
Last updated | Aug 22nd, 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 | 1316182249 | NPPES |
South Carolina | MEDICAID | SA0944 | |
South Carolina | Other | 3754 |
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