Chanda C Bourgeois, MED, CCC, SLP

NPI #1306116645 in Cleveland, Georgia

Provider Information

NPI Number
1306116645
Entity Type
Individual
Name
Chanda C Bourgeois, MED, CCC, SLP
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Speech-Language Pathologist
Credential
MED, CCC, SLP
Enumeration Date
Jan 4, 2012
Last Updated
Jan 4, 2012

Practice Location

Address
26 BRADLEY LN
State
Georgia
ZIP Code
30528-3800
Phone
(706) 892-8938

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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