Doctor Name: | RONDA SANDERS |
NPI Number: | 1477838381 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC, SLP |
License Number: | SLP004765 |
Business Practice Address: | 1112 Plaza Ave Suite A Eastman, GA - 310239009 |
Business Phone Number: | 4783747733 |
Business Fax Number: | |
Mailing Address: | 724 Cook Still Rd, MILAN |
State: | GA |
Postal Code: | 310604006 |
Phone Number: | 4789790750 |
Fax Number: | |
NPI Enumeration Date: | 10/12/2011 |
NPI Last Update Date: | 10/12/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP004765 |
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 |