MRS. Mavis D Ivy, M.A., CCC-SLP

NPI #1164659421 in Dunwoody, Georgia

Provider Information

NPI Number
1164659421
Entity Type
Individual
Name
MRS. Mavis D Ivy, M.A., CCC-SLP
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Speech-Language Pathologist
Credential
M.A., CCC-SLP
Enumeration Date
Jun 14, 2009
Last Updated
Jun 14, 2009

Practice Location

Address
5338 BRIARLEIGH CLOSE
State
Georgia
ZIP Code
30338-7006
Phone
(678) 592-0052

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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