Speller, Carmen Marie

Speller, Carmen Marie is an individual health care provider with primary practice located at 1411 N Fairfield Rd , Beavercreek OH 45432-2637. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Speller, Carmen Marie can be contacted via phone (937) 426-2686.

Contact Information

Primary practice address
1411 N Fairfield Rd Beavercreek OH 45432-2637
Phone: (937) 426-2686
Fax: (937) 426-6230
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X C.1700428 Ohio

Profile Details

NPI number 1265962161
LBN Legal business name Speller, Carmen Marie
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2017
Last updated Jan 10th, 2018 - about 7 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 1265962161 NPPES
Ohio Other C.1700428 LPC

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