Doctor Name: | ELLEN SOLOWAY |
NPI Number: | 1780740415 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | 5148 |
Business Practice Address: | 2425 Hunting Valley Dr Decatur, GA - 300334227 |
Business Phone Number: | 4045938892 |
Business Fax Number: | 6787058167 |
Mailing Address: | 2425 Hunting Valley Dr, DECATUR |
State: | GA |
Postal Code: | 300334227 |
Phone Number: | 4045938892 |
Fax Number: | 6787058167 |
NPI Enumeration Date: | 12/28/2006 |
NPI Last Update Date: | 04/06/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 5148 |
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 |