Doctor Name: | SUSAN ASHWORTH DUMBACHER |
NPI Number: | 1346543543 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC |
License Number: | SLP007397 |
Business Practice Address: | 1000 Johnson Ferry Rd Suite A100 Marietta, GA - 300682114 |
Business Phone Number: | 7709779457 |
Business Fax Number: | 7708312313 |
Mailing Address: | 3725 Lawrenceville Suwanee Rd, Suite B-3 SUWANEE |
State: | GA |
Postal Code: | 300242320 |
Phone Number: | 7708312313 |
Fax Number: | 7708312778 |
NPI Enumeration Date: | 12/09/2010 |
NPI Last Update Date: | 12/09/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP007397 |
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 |