Speech Therapy Et Al Llc
Speech-Language Pathologist · Mcdonough, GA
At a glance
1530 Pennsylvania Ave, Mcdonough, GA 30253
NPPES record updated Sep 7, 2018. Public records can lag behind changes at a practice.
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Practice location
1530 Pennsylvania AveMcdonough, GA 30253
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Speech-Language Pathologist
- Taxonomy code
- 235Z00000X
- Enumeration date
- Sep 6, 2018
- Record updated
- Sep 7, 2018
More registry details
- Provider type
- Organization · Type 2
Reported taxonomies and licenses
Specialty details in registry
231H00000X
License reported: AUD003765 GA
Specialty details in registry
2355S0801X
Speech-Language Pathologist
235Z00000X · Primary
License reported: SLP001995 GA
Specialty details in registry
237600000X
License reported: AUD003765 GA
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
1530 Pennsylvania AveMcdonough, GA 30253
- Phone
- (770) 898-3495
- Fax
- (770) 898-3496
Mailing address
PO BOX 2155MCDONOUGH, GA 302531730
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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