Organization Name: | ELIZABETH H. FESTER |
NPI Number: | 1619123064 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ELIZABETH HOUSEMAN FESTER (OWNER) |
Mailing Address: | 440 S Burgess Trl Alpharetta |
State: | GA US |
Postal Code: | 300040859 |
Phone Number: | 4044334818 |
Fax Number: | 7704425924 |
NPI Enumeration Date: | 08/15/2008 |
NPI Last Update Date: | 09/08/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 1386 |
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 |