NPI age
15 years
Enumerated 2010-07-01
Across 5327 active speech-language pathologist providers in Georgia.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 277041361B | |
| 01 (GA) | SLP007349 | GA LICENSE |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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