Raby, Glenda Ann

Raby, Glenda Ann is an sole proprietor health care provider with primary practice located at 1118 Fairfield Rd , Mount Vernon IL 62864-5726. 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. Raby, Glenda Ann can be contacted via phone (618) 244-8079.

Contact Information

Primary practice address
1118 Fairfield Rd Mount Vernon IL 62864-5726
Fax: (618) 244-8078
Website:

Health care specialties

Profile Details

NPI number 1154830032
LBN Legal business name Raby, Glenda Ann
Credentials MS., CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 24th, 2017
Last updated Sep 24th, 2017 - about 8 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 1154830032 NPPES
Illinois MEDICAID 16099017884

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