NPI | 1932619285 |
---|---|
Entity Type | Organization |
Authorized Contact | MARCELLA PAIGE MEREDITH Owner/ Speech Language Pathologist 678-467-7732 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA slp008511) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: SC 5593) |
Enumeration Date | 2017-10-01 |
Last Update Date | 2022-07-21 |