P Praxis·MD
● Active Type 1 · Individual

Mary E Ethridge

Speech-Language Pathologist·Carrollton, GA· NPI 1710202031 · Enumerated 2010 · 16 years on NPI
Ethridge is 1 of 34 speech-language pathologist providers in Carrollton and 1 of 5327 in Georgia.
NPI age
16 years
Enumerated 2010-03-30
Primary specialty
Speech-Language Pathologist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2010-03-30
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 5327 active speech-language pathologist providers in Georgia.

NPI age
16 years
↑ 6 yr above median (10 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
0
9% of peers hold subspecialties

NPI lifetime · 2010 → 2026

2010-03Enumerated in NPPES
2010 2026

Where they practice

Practice location
121b Lee St
Carrollton, GA 301173314
📞 7708308622fax 7708329031
Mailing address
121b Lee St
Carrollton, GA 301173314
📞 7708308622fax 7708329031

Specialties

  • Speech-Language Pathologist Primary
    The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through...
    GA license #SLP007220 taxonomy 235Z00000X

Identifiers

TypeValueNotes
01 (GA) SLP007220 SPEECH, LANGUAGE AND PATHOLOGIST

Practice context

Part of a multi-provider practice. 7 other active providers share this practice address in NPPES.

Recently enumerated nearby: 2 new speech-language pathologist providers have been added in Carrollton in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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