Jld Speech Therapy, LLC

NPI #1063743953 in Douglas, Georgia

Provider Information

NPI Number
1063743953
Entity Type
Organization
Organization Name
Jld Speech Therapy, LLC
Primary Specialty
Speech-Language Pathologist
Enumeration Date
Jan 17, 2010
Last Updated
Jan 17, 2010

Practice Location

Address
618 BOWENS MILL RD SW
State
Georgia
ZIP Code
31533-3926
Phone
(912) 539-1612

Authorized Official

Name
MS. JAYLA S BULLOCK, M.ED., CCC/SLP
Title
OWNER/ SPEECH LANGUAGE PATHOLOGIST
Phone
(912) 539-1612

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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