Doctor Name: | E KELLI QUINN |
NPI Number: | 1144388133 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS CCC-SLP |
License Number: | SLP005554 |
Business Practice Address: | 1000 Holcomb Woods Pkwy Ste 426 Roswell, GA - 300762575 |
Business Phone Number: | 7708519553 |
Business Fax Number: | 7706984178 |
Mailing Address: | 700 Amster Green Dr, ATLANTA |
State: | GA |
Postal Code: | 303504139 |
Phone Number: | 7708519553 |
Fax Number: | 7706984178 |
NPI Enumeration Date: | 12/04/2006 |
NPI Last Update Date: | 05/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP005554 |
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 |