Organization Name: | COMMUNICATION CONSULTANTS |
NPI Number: | 1285912345 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CARMEN MELTON DOUGLAS (SPEECH- LANGUAGE PATHOLOGIST) |
Mailing Address: | 10354 Shepperton Ct Jonesboro |
State: | GA US |
Postal Code: | 302387875 |
Phone Number: | 4043174140 |
Fax Number: | 7706035898 |
NPI Enumeration Date: | 07/23/2011 |
NPI Last Update Date: | 08/07/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP005253 |
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 |