Organization Name: | CHRISTY CANADY, LLC |
NPI Number: | 1992000590 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHRISTINA B CANADY (SPEECH LANGUAGE PATHOLOGIST) |
Mailing Address: | 601 N Belair Sq Ste 19 Suite 19 Evans |
State: | GA US |
Postal Code: | 308094324 |
Phone Number: | 7063641486 |
Fax Number: | 7063641487 |
NPI Enumeration Date: | 01/13/2011 |
NPI Last Update Date: | 01/13/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP006956 |
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 |