NPI age
8 years
Enumerated 2018-05-09
Across 5327 active speech-language pathologist providers in Georgia.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (NC) | 003216196A | |
| 01 (NC) | 14456889 | CAQH |
| 05 (GA) | 003216196B |
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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