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PROFESSIONAL SPEECH & LANGUAGE THERAPY INC NPI 1124342019


NPI Information

NPI: 1124342019
Provider Name: PROFESSIONAL SPEECH & LANGUAGE THERAPY, INC
Classification: Clinic/Center - 261QH0700X
Entity Type: Organization

Specialization: Hearing and Speech

Address:
210 WALKER ST SW UNIT 5
ATLANTA, GA
ZIP 30313
Phone: (678) 608-9601
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PROFESSIONAL SPEECH & LANGUAGE THERAPY, INC is a hearing and speech clinic center in Atlanta, GA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, prescriptive, and therapy services related to congenital and acquired conditions and diseases that affect hearing capacity and speech ability. PROFESSIONAL SPEECH & LANGUAGE THERAPY, INC NPI is 1124342019. The provider is registered as an organization entity type.

The provider's business location address is:

210 WALKER ST SW UNIT 5
ATLANTA, GA
ZIP 30313-213
Phone: (678) 608-9601
Fax: (404) 748-4482

The provider's authorized official is Javonya Donell Clemons .
The authorized official title is Speech-language Pathologist and has the following contact phone number (678) 608-9601.

The enumeration date for this NPI number is 3/21/2010 and was last updated on 3/21/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QH0700XClinic/CenterHearing and SpeechYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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