Doctor Name: | STEPHANIE L. SANDERS |
NPI Number: | 1376794040 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | SLP 005910 |
Business Practice Address: | 2981 Hog Mountain Rd Watkinsville, GA - 306771819 |
Business Phone Number: | 7067690922 |
Business Fax Number: | |
Mailing Address: | 523 Providence Cir, STATHAM |
State: | GA |
Postal Code: | 306662132 |
Phone Number: | 7707256213 |
Fax Number: | |
NPI Enumeration Date: | 09/30/2008 |
NPI Last Update Date: | 09/30/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP 005910 |
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 |