Scintilla Charter Academy

NPI #1740658558 in Valdosta, Georgia

Provider Information

NPI Number
1740658558
Entity Type
Organization
Organization Name
Scintilla Charter Academy
Primary Specialty
Speech-Language Pathologist
Enumeration Date
Sep 10, 2015
Last Updated
Sep 10, 2015

Practice Location

Address
2171 E PARK AVE
State
Georgia
ZIP Code
31602-4436
Phone
(229) 244-5750

Authorized Official

Name
STEPHANIE HERNDON
Title
OFFICE MANAGER
Phone
(229) 244-5750

Specialties & Taxonomy Codes

Specialty
Physical Therapist
Occupational Therapist
Speech-Language Pathologist

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