Doctor Name: | REGINA SUSAN ARVIN |
NPI Number: | 1821122771 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS-SLP |
License Number: | SLP001800 |
Business Practice Address: | 3720 Somerset Rdg Nw Kennesaw, GA - 301445716 |
Business Phone Number: | 7704278117 |
Business Fax Number: | 7704278117 |
Mailing Address: | 3720 Somerset Rdg Nw, KENNESAW |
State: | GA |
Postal Code: | 301445716 |
Phone Number: | 7704278117 |
Fax Number: | 7704278117 |
NPI Enumeration Date: | 03/15/2007 |
NPI Last Update Date: | 09/27/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP001800 |
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 |