Imani Anderson, CCC-SLP
Speech-Language Pathologist, in Lawrenceville, GA. Individual provider (NPI-1).
NPI number1053965525
StatusActive
Last updated in NPPESAug 1, 2019
Details
- NPI
- 1053965525
- Entity type
- Individual (NPI-1)
- Name
- Imani Anderson
- Credential
- CCC-SLP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 1, 2019
- Last updated
- Aug 1, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | SLP010704 | GA | Yes |
Practice location
2775 Cruse Rd Suite 2002Lawrenceville, GA 30044
Phone 770-289-0308
Mailing address
3405 Sweetwater Rd 413Lawrenceville, GA 30044
Phone 610-393-7446
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All 196 Speech-Language Pathologist providers in Lawrenceville · All 5,967 providers in Lawrenceville
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