| NPI | 1306985072 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SABRENIA RENEE ROBERTS Speech Language Pathologist 678-725-4628 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: GA SLPA000040) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP004287) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2025-09-11 |