Doctor Name: | MS. VERONICA S PRIDE |
NPI Number: | 1033409818 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC |
License Number: | SLP007346 |
Business Practice Address: | 5451 W Fayetteville Rd Atlanta, GA - 303495417 |
Business Phone Number: | 7709944020 |
Business Fax Number: | |
Mailing Address: | 1778 Donnalee Ave Se, ATLANTA |
State: | GA |
Postal Code: | 303162356 |
Phone Number: | 4104126975 |
Fax Number: | |
NPI Enumeration Date: | 04/13/2011 |
NPI Last Update Date: | 04/13/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP007346 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |