NPI age
17 years
Enumerated 2009-03-18
Across 5327 active speech-language pathologist providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (WA) | 1331465 | DRIVER'S LICENSE |
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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