NPI age
19 years
Enumerated 2006-11-12
Across 5327 active speech-language pathologist providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 12038676 | ASHA # |
| 01 (GA) | SLP005115 | GA STATE LICENSE |
| 05 (GA) | 10037022 | |
| 05 (GA) | 305510 |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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