Lenoir-Monroe, Ida Racheryl

Lenoir-Monroe, Ida Racheryl is an sole proprietor health care provider with primary practice located at 1505 Aughton Ct , Conyers GA 30013-7410. 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. Lenoir-Monroe, Ida Racheryl can be contacted via phone (770) 679-0909.

Contact Information

Primary practice address
1505 Aughton Ct Conyers GA 30013-7410
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X S3007 Mississippi

Profile Details

NPI number 1568453595
LBN Legal business name Lenoir-Monroe, Ida Racheryl
Credentials EDS,CCC,SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 31st, 2005
Last updated Mar 28th, 2012 - about 12 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 1568453595 NPPES
Mississippi MEDICAID 05378356

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