Doctor Name: | MEAGAN G KIDD |
NPI Number: | 1265683544 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.ED.CCC-SLP |
License Number: | SLP006790 |
Business Practice Address: | 3905 Johns Creek Ct Ste 250 Suwanee, GA - 300241224 |
Business Phone Number: | 7708885221 |
Business Fax Number: | 6786805929 |
Mailing Address: | 3905 Johns Creek Ct, Ste 250 SUWANEE |
State: | GA |
Postal Code: | 300241224 |
Phone Number: | 7708885221 |
Fax Number: | 6786805929 |
NPI Enumeration Date: | 10/06/2008 |
NPI Last Update Date: | 03/14/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP006790 |
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 |