Porteus, Elizabeth Ann

Porteus, Elizabeth Ann is an individual health care provider with primary practice located at 5313 Paleo Pines Cir , Fort Pierce FL 34951-2344. 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. Porteus, Elizabeth Ann can be contacted via phone (772) 577-3158.

Contact Information

Primary practice address
5313 Paleo Pines Cir Fort Pierce FL 34951-2344
Phone: (772) 577-3158
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SL010271 Pennsylvania
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SA11437 Florida
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 05704 Maryland

Profile Details

NPI number 1407150212
LBN Legal business name Porteus, Elizabeth Ann
Credentials M.S. CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2011
Last updated Feb 10th, 2022 - about 3 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 1407150212 NPPES
Maryland MEDICAID 039935300
Maryland MEDICAID 105167500
Maryland MEDICAID 1025554100001

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