Organization Name: | COMMUNICATION STATION D.A.S |
NPI Number: | 1306204946 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DANIELLE MCGOWAN (SPEECH LANGUAGE PATHOLOGIST) |
Mailing Address: | 1925 Waycrest Dr Sw Apt 4310 Atlanta |
State: | GA US |
Postal Code: | 303318400 |
Phone Number: | 6787930624 |
Fax Number: | |
NPI Enumeration Date: | 02/10/2016 |
NPI Last Update Date: | 02/10/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP008010 |
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 |