NPI age
19 years
Enumerated 2006-11-15
Across 5327 active speech-language pathologist providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 | 12039364 | ASHA CERTIFICATION |
| 01 (GA) | 1364319 | GSHA MEMBERSHIP |
| 05 (GA) | 10034561 | |
| 05 (GA) | 305511 | |
| 01 (GA) | SLP005147 | GA LICENSE |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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