Pidge, Sally Ray

Pidge, Sally Ray is an individual health care provider with primary practice located at 10800 Independence Pointe Pkwy Suite D, Matthews NC 28105-1753. 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. Pidge, Sally Ray can be contacted via phone (704) 708-8314.

Contact Information

Primary practice address
10800 Independence Pointe Pkwy Suite D Matthews NC 28105-1753
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X NC2583 North Carolina

Profile Details

NPI number 1548219652
LBN Legal business name Pidge, Sally Ray
Credentials SLP
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 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 1548219652 NPPES
North Carolina MEDICAID 7411122

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