Tate, Angela Gail
Tate, Angela Gail is an sole proprietor health care provider with primary practice located at 3400 Mcclure Bridge Rd G 701 , Duluth GA 30096-8751. 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. Tate, Angela Gail can be contacted via phone (678) 957-1012.Contact Information
Primary practice address
3400 Mcclure Bridge Rd G 701
Duluth GA 30096-8751
Phone: (678) 957-1012
Fax: (678) 957-1013
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SLP 5334 | Arizona |
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 006491 | Georgia |
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SLP006491 | Georgia |
Profile Details
| NPI number | 1891818555 |
|---|---|
| LBN Legal business name | Tate, Angela Gail |
| Credentials | MCD/CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 9th, 2007 |
| Last updated | Jun 17th, 2016 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891818555 | NPPES |
| Georgia | MEDICAID | 169808036D |
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