NPI age
19 years
Enumerated 2006-07-20
Across 5327 active speech-language pathologist providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 003133488A | CIS NUMBER |
| 01 | 12025668 | NATIONAL ASHA |
| 05 (GA) | 016408833A | |
| 01 (GA) | SLP005809 | STATE LICENSE |
Part of a multi-provider practice. 132 other active providers share this practice address in NPPES.
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