NPI age
15 years
Enumerated 2010-07-29
Across 5327 active speech-language pathologist providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 0944746-02 | |
| 01 | 0031DG | BLUE CROSS BLUE SHIELD |
| 01 | 74-2745294 | TAX ID |
Solo or small practice. No other active providers share this practice address in NPPES.
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