Organization Name: | A TO Z PEDIATRIC THERAPY, LLC |
NPI Number: | 1104176718 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | AMANDA ZITO (SPEECH PATHOLOGIST) |
Mailing Address: | 5825 Glenridge Dr Ne Bldg 1, Suite 133 Atlanta |
State: | GA US |
Postal Code: | 303285387 |
Phone Number: | 6787339318 |
Fax Number: | 4049025440 |
NPI Enumeration Date: | 09/12/2012 |
NPI Last Update Date: | 09/12/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP005916 |
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 |