Doctor Name: | LAURIE ORKIN GINBURG |
NPI Number: | 1124440953 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A.CCC-SLP |
License Number: | SLP000862 |
Business Practice Address: | 407 Hardscrabble Rd Roswell, GA - 300751417 |
Business Phone Number: | 7709981017 |
Business Fax Number: | 7709983258 |
Mailing Address: | 4505 Hampton Woods Dr., MARIETTA |
State: | GA |
Postal Code: | 300685402 |
Phone Number: | 7709732226 |
Fax Number: | |
NPI Enumeration Date: | 01/14/2014 |
NPI Last Update Date: | 01/14/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP000862 |
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 |