Organization Name: | TSG ATHENS |
NPI Number: | 1689006835 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHRISTOPHER MICHAEL BALL (EXECUTIVE DIRECTOR) |
Mailing Address: | 1020 Barber Creek Dr Suite 113 Watkinsville |
State: | GA US |
Postal Code: | 306775981 |
Phone Number: | 7065839525 |
Fax Number: | 7065839526 |
NPI Enumeration Date: | 07/30/2013 |
NPI Last Update Date: | 07/30/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
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 |