Doctor Name: | JSWANDA VANAE FORWARD |
NPI Number: | 1447534748 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. CCC/SLP |
License Number: | SLP005006 |
Business Practice Address: | 1855 Courtyard Ln Mcdonough, GA - 302528657 |
Business Phone Number: | 6786565336 |
Business Fax Number: | 7709577973 |
Mailing Address: | 1855 Courtyard Ln, MCDONOUGH |
State: | GA |
Postal Code: | 302528657 |
Phone Number: | 6786565336 |
Fax Number: | 7709577973 |
NPI Enumeration Date: | 10/05/2011 |
NPI Last Update Date: | 10/05/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP005006 |
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 |