Miranda, Ruby

Miranda, Ruby is an individual health care provider with primary practice located at 1562 Opossumtown Pike , Frederick MD 21702-4337. 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. Miranda, Ruby can be contacted via phone (240) 566-3400.

Contact Information

Primary practice address
1562 Opossumtown Pike Frederick MD 21702-4337
Fax: (240) 566-3892
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 05343 Maryland

Profile Details

NPI number 1497951420
LBN Legal business name Miranda, Ruby
Credentials SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2007
Last updated Jul 8th, 2007 - about 18 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 1497951420 NPPES
Maryland Other 05343 LICENSE

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