NPI age
11 years
Enumerated 2014-07-15
Across 5327 active speech-language pathologist providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 003148572C | |
| 01 (GA) | SLP008586 | STATE OF GEORGIA LICENSE |
Part of a multi-provider practice. 10 other active providers share this practice address in NPPES.
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