Doctor Name: | MR. MICHAEL RAYMOND SEMONSKY |
NPI Number: | 1760763817 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | CCC-SLP |
License Number: | SLP006821 |
Business Practice Address: | 1109 Highway 211 Ne Winder, GA - 306803216 |
Business Phone Number: | 7062481281 |
Business Fax Number: | 6784251868 |
Mailing Address: | 1109 Highway 211 Ne, WINDER |
State: | GA |
Postal Code: | 306803216 |
Phone Number: | 7062481281 |
Fax Number: | 6784251868 |
NPI Enumeration Date: | 09/02/2011 |
NPI Last Update Date: | 09/02/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP006821 |
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 |