Kidz Speak Therapeutic Services LLC
Speech-Language Pathologist, in Buford, GA. Organization (NPI-2).
NPI number1669974846
StatusActive
Last updated in NPPESMar 5, 2018
Details
- NPI
- 1669974846
- Entity type
- Organization (NPI-2)
- Legal business name
- Kidz Speak Therapeutic Services LLC
- Organization subpart
- No
- Enumeration date
- Mar 5, 2018
- Last updated
- Mar 5, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | SLP007823 | GA | Yes |
Practice location
2853 Morgan Farm CtBuford, GA 30519-3042
Phone 215-485-3954
Mailing address
2853 Morgan Farm CtBuford, GA 30519-3042
Phone 215-485-3954
Authorized official
Kelly A Gallagher
Slp/President
2154853954
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