Doctor Name: | GARNET PARKER DIAMOND |
NPI Number: | 1669408787 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSP-CCC-SLP |
License Number: | SLP006117 |
Business Practice Address: | 3737 Roscommon N Martinez, GA - 309074741 |
Business Phone Number: | 7068609996 |
Business Fax Number: | |
Mailing Address: | 3737 Roscommon N, MARTINEZ |
State: | GA |
Postal Code: | 309074741 |
Phone Number: | 7068609996 |
Fax Number: | |
NPI Enumeration Date: | 06/23/2006 |
NPI Last Update Date: | 08/24/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP006117 |
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 |