Doctor Name: | PATRICIA MCWHORTER SPICKNALL |
NPI Number: | 1174817969 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | SLP007528 |
Business Practice Address: | 3106 Spring Hill Pkwy Se Apt G Smyrna, GA - 300804797 |
Business Phone Number: | 7706019773 |
Business Fax Number: | |
Mailing Address: | 3106 Spring Hill Pkwy Se, Apt G SMYRNA |
State: | GA |
Postal Code: | 300804797 |
Phone Number: | 7706019773 |
Fax Number: | |
NPI Enumeration Date: | 06/09/2011 |
NPI Last Update Date: | 05/08/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP007528 |
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 |