Doctor Name: | MRS. RACHEL SCRUGGS |
NPI Number: | 1467841296 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | SLP008000 |
Business Practice Address: | 311 Cooper Rd Loganville, GA - 300524976 |
Business Phone Number: | 6782055437 |
Business Fax Number: | 6783777950 |
Mailing Address: | 244 Graymist Path, LOGANVILLE |
State: | GA |
Postal Code: | 300527853 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 01/16/2015 |
NPI Last Update Date: | 01/16/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP008000 |
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 |