Doctor Name: | MARY CATHERINE LANIER TINTLE |
NPI Number: | 1215020029 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M. ED. CCC-SLP |
License Number: | SLP 006442 |
Business Practice Address: | 1192 Foster St Nw Atlanta, GA - 303184329 |
Business Phone Number: | 4043377436 |
Business Fax Number: | |
Mailing Address: | 1192 Foster St Nw, ATLANTA |
State: | GA |
Postal Code: | 303184329 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 10/02/2006 |
NPI Last Update Date: | 05/01/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP 006442 |
Healthcare Provider Taxonomy: (Secondary) | N |
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 |