Doctor Name: | MRS. MICHELLE LEE SPADY |
NPI Number: | 1720155286 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC-SLP, ATP |
License Number: | SLP006472 |
Business Practice Address: | 3166 Cherokee St Nw Ste 101 Kennesaw, GA - 301442883 |
Business Phone Number: | 6782906524 |
Business Fax Number: | |
Mailing Address: | 1106 Morningside Pl Ne, ATLANTA |
State: | GA |
Postal Code: | 303063060 |
Phone Number: | 4042496387 |
Fax Number: | |
NPI Enumeration Date: | 11/29/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP006472 |
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 |