Organization Name: | RAND SPEECH PATHOLOGY |
NPI Number: | 1659440329 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | VIRGINIA MARTIN RAND (SPEECH PATHOLOGIST DIRECTOR) |
Mailing Address: | 1583 Riderwood Ct Decatur |
State: | GA US |
Postal Code: | 300331505 |
Phone Number: | 6784293790 |
Fax Number: | 4049296683 |
NPI Enumeration Date: | 11/07/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP005762 |
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 |