Organization Name: | CSRA THERAPY SERVICES INC |
NPI Number: | 1679515985 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RACHELLE CLARK (OWNER) |
Mailing Address: | 2485 Ga Highway 88 Hephzibah |
State: | GA US |
Postal Code: | 308154691 |
Phone Number: | 7065925565 |
Fax Number: | 7065925565 |
NPI Enumeration Date: | 06/12/2006 |
NPI Last Update Date: | 05/24/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
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 |