NPI | 1639359169 |
---|---|
Other Name | BRIAN RICHBERG |
Entity Type | Organization |
Authorized Contact | BRIAN C RICHBERG Speech Language Pathologist 678-793-9563 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP005324) |
Enumeration Date | 2007-11-13 |
Last Update Date | 2012-01-05 |