NPI age
18 years
Enumerated 2008-02-18
Across 5327 active speech-language pathologist providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | PCET001304 | BD FOR S.T. |
| 01 (GA) | SLP007008 | STATE LICENSE NUMBER |
Part of a multi-provider practice. 10 other active providers share this practice address in NPPES.
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