Robertson, Gretta Christine

Robertson, Gretta Christine is an sole proprietor health care provider with primary practice located at 4010 Phillipsite Ln , Cumming GA 30040-6178. 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. Robertson, Gretta Christine can be contacted via phone (770) 292-9846.

Contact Information

Primary practice address
4010 Phillipsite Ln Cumming GA 30040-6178
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SLP006649 Georgia

Profile Details

NPI number 1508023540
LBN Legal business name Robertson, Gretta Christine
Credentials MS-CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 19th, 2008
Last updated Jul 29th, 2009 - about 16 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 1508023540 NPPES
Georgia MEDICAID 738798939A

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