Organization Name: | SPEECH THEREPEZE |
NPI Number: | 1700022829 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ERIKA ROBINSON (OWNER) |
Mailing Address: | 5784 Fairington Farms Ct Lithonia |
State: | GA US |
Postal Code: | 300381551 |
Phone Number: | 4043280055 |
Fax Number: | 4043281008 |
NPI Enumeration Date: | 12/18/2008 |
NPI Last Update Date: | 12/18/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP006022 |
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 |