Speech Spa, Llc.

NPI #1306241450 in Tucker, Georgia

Provider Information

NPI Number
1306241450
Entity Type
Organization
Organization Name
Speech Spa, Llc.
Primary Specialty
Early Intervention Provider Agency
Enumeration Date
Oct 31, 2014
Last Updated
Oct 31, 2014

Practice Location

Address
2260 NORTHLAKE PKWY
Address 2
SUITE 210
City
Tucker
State
Georgia
ZIP Code
30084-4036
Phone
(678) 825-5750

Authorized Official

Name
MRS. AMY JO COLEMANPERRYMAN, SLP
Title
SPEECH LANGUAGE PATHOLOGIST
Phone
(678) 825-5750

Specialties & Taxonomy Codes

Specialty
Early Intervention Provider Agency

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