Foundations Pediatric Speech Therapy Services LLC

NPI #1578025953 in Dacula, Georgia

Provider Information

NPI Number
1578025953
Entity Type
Organization
Organization Name
Foundations Pediatric Speech Therapy Services LLC
Primary Specialty
Speech-Language Pathologist
Enumeration Date
Apr 3, 2019
Last Updated
Apr 3, 2019

Practice Location

Address
2700 BRASELTON HWY STE 3
City
Dacula
State
Georgia
ZIP Code
30019-3263
Phone
(470) 636-0710

Authorized Official

Name
LEAH D BRYANT, CCC-SLP
Title
SPEECH LANGUAGE PATHOLOGIST
Phone
(470) 636-0710

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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