| NPI | 1740369099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY L VELLIQUETTE Owner President Provider 404-934-0605 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP004538) |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2014-01-03 |