Southern Pediatric Speech Therapy LLC
NPI #1053818351 in Bloomingdale, Georgia
Provider Information
- NPI Number
- 1053818351
- Entity Type
- Organization
- Organization Name
- Southern Pediatric Speech Therapy LLC
- Primary Specialty
- Early Intervention Provider Agency
- Enumeration Date
- Apr 12, 2018
- Last Updated
- Jun 16, 2018
Practice Location
- Address
- 108 WALNUT ST
- City
- Bloomingdale
- State
- Georgia
- ZIP Code
- 31302-8535
- Phone
- (912) 658-6433
Authorized Official
- Name
- HOLLY HALES, SLP
- Title
- OWNER
- Phone
- (912) 658-6433
Specialties & Taxonomy Codes
| Specialty |
|---|
| Early Intervention Provider Agency |
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