Moulaie-Birgani, Teresa Ann

Moulaie-Birgani, Teresa Ann is an sole proprietor health care provider with primary practice located at 106 Sunset Dr , Mauldin SC 29662-2518. 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. Moulaie-Birgani, Teresa Ann can be contacted via phone (864) 288-5380.

Contact Information

Primary practice address
106 Sunset Dr Mauldin SC 29662-2518
Phone: (864) 288-5380
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 001007 South Carolina

Profile Details

NPI number 1942235197
LBN Legal business name Moulaie-Birgani, Teresa Ann
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 12th, 2006
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 1942235197 NPPES
South Carolina Other 001007 STATE LICENSE NUMBER
South Carolina Other 01080064 STATE LICENSE NUMBER
South Carolina MEDICAID SA0213 STATE LICENSE NUMBER

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