Green Pediatric Therapy
Speech-Language Pathologist · Decatur, GA
At a glance
4068 Emerald Lake Drive, Decatur, GA 30035
NPPES record updated Sep 3, 2025. Public records can lag behind changes at a practice.
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Insurance participation and appointment availability are not established by these public records.
Practice location
4068 Emerald Lake DriveDecatur, GA 30035
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Speech-Language Pathologist
- Taxonomy code
- 235Z00000X
- Enumeration date
- Oct 2, 2023
- Record updated
- Sep 3, 2025
More registry details
- Provider type
- Organization · Type 2
Reported taxonomies and licenses
Speech-Language Pathologist
235Z00000X · Primary
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
4068 Emerald Lake DriveDecatur, GA 30035
- Phone
- (318) 518-1686
- Fax
- (470) 500-0289
Mailing address
4068 EMERALD LAKE DRDECATUR, GA 300352735
Information may be outdated or incomplete.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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