Speech Evolve Therapy Services, Limited Liability Company

NPI #1720600083 in Ellenwood, Georgia

Provider Information

NPI Number: 1720600083
Entity Type: Organization
Organization Name: Speech Evolve Therapy Services, Limited Liability Company
Primary Specialty: Speech-Language Pathologist
Enumeration Date: May 10, 2020
Last Updated: May 10, 2020

Practice Location

Address: 3980 AMBROSE RIDGE CT
City: Ellenwood
State: Georgia
ZIP Code: 30294-6257
Phone: (404) 484-8685

Authorized Official

Name: MISS JESSICA CIERRA CO, CCC-SLP
Title: OWNER/ SPEECH THERAPIST
Phone: (404) 484-8685

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Speech-Language Pathologist	235Z00000X	Primary

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