NPI age
16 years
Enumerated 2010-04-07
Across 5327 active speech-language pathologist providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 01100201 | ASHA MEMBER |
| 01 (GA) | SLP001709 | STATE OF GEORGIA LICENSE |
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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