Doctor Name: | ANGELA TATE-WASHINGTON |
NPI Number: | 1891818555 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MCD |
License Number: | 006491 |
Business Practice Address: | 3757 Meeting St Duluth, GA - 30096 |
Business Phone Number: | 6788629642 |
Business Fax Number: | |
Mailing Address: | 3757 Meeting Street, DULUTH |
State: | GA |
Postal Code: | 30096 |
Phone Number: | 6788629642 |
Fax Number: | |
NPI Enumeration Date: | 04/09/2007 |
NPI Last Update Date: | 12/10/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 006491 |
Healthcare Provider Taxonomy: (Secondary) | N |
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 |