| NPI | 1972596898 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEVERLY BAILEY Owner 770-995-2378 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP000710) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP001643) |
| 235Z00000X Speech-Language Pathologist, (Licence: GA SLP004673) | |
| 235Z00000X Speech-Language Pathologist, (Licence: GA slp000631) | |
| 235Z00000X Speech-Language Pathologist, (Licence: GA SLP005405) | |
| 235Z00000X Speech-Language Pathologist, (Licence: GA SLP003258) | |
| 235Z00000X Speech-Language Pathologist, (Licence: GA SLP004594) | |
| Enumeration Date | 2005-08-25 |
| Last Update Date | 2011-01-11 |