Prentiss, Sandra M

Prentiss, Sandra M is an individual health care provider with primary practice located at 1120 Nw 14Th St , Miami FL 33136-2107. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Prentiss, Sandra M can be contacted via phone (305) 243-3564.

Contact Information

Primary practice address
1120 Nw 14Th St Miami FL 33136-2107
Phone: (305) 243-3564
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 2107 Kansas
Speech, Language and Hearing Service Providers / Audiologist 231H00000X AY1987 Florida

Profile Details

NPI number 1770646754
LBN Legal business name Prentiss, Sandra M
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2006
Last updated Oct 13th, 2015 - about 10 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 1770646754 NPPES
Kansas MEDICAID 200333530A

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