Joshua D Blackmon, M.ED.,CCC

NPI #1619254869 in Marietta, Georgia

Provider Information

NPI Number
1619254869
Entity Type
Individual
Name
Joshua D Blackmon, M.ED.,CCC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Speech-Language Pathologist
Credential
M.ED.,CCC
Enumeration Date
Nov 15, 2011
Last Updated
Nov 15, 2011

Practice Location

Address
1000 JOHNSON FERRY RD
Address 2
SUITE A100
State
Georgia
ZIP Code
30068-2114
Phone
(770) 977-9457

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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