NPI age
19 years
Enumerated 2007-02-15
Across 5327 active speech-language pathologist providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (WV) | SLP-0723 | WV LICENSE |
| 01 (KY) | 3611 | SLP LICENSE |
| 01 | 12044736 | ASHA |
| 01 (VA) | 2202003791 | VA LICENSE |
| 05 (WV) | 3810003127 | |
| 01 (GA) | SLP007547 | GA BOARD FOR SPEECH-LANGUAGE PATHOLOGY |
| 05 (GA) | 003134946A |
Part of a multi-provider practice. 11 other active providers share this practice address in NPPES.
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