Doctor Name: | MISS KAYLA MICHELLE BATES |
NPI Number: | 1063893840 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MCD, CF-SLP |
License Number: | PCET002182 |
Business Practice Address: | 4028 Holcomb Bridge Rd Suite 202 Norcross, GA - 300924655 |
Business Phone Number: | 7702099826 |
Business Fax Number: | 7702099876 |
Mailing Address: | 4028 Holcomb Bridge Rd, Suite 202 NORCROSS |
State: | GA |
Postal Code: | 300924655 |
Phone Number: | 7702099826 |
Fax Number: | 7702099876 |
NPI Enumeration Date: | 06/17/2015 |
NPI Last Update Date: | 10/01/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | PCET002182 |
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 |