Paige Bidwell, CCC-SLP
Speech-Language Pathologist, in Suwanee, GA. Individual provider (NPI-1).
NPI number1790348753
StatusActive
Last updated in NPPESApr 16, 2019
Details
- NPI
- 1790348753
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Paige Bidwell
- Credential
- CCC-SLP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 16, 2019
- Last updated
- Apr 16, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | SLP003638 | GA | Yes |
Practice location
5000 Research Ct Ste 450Suwanee, GA 30024-6660
Phone 770-205-5551
Mailing address
7020 Silver Fox TrlCumming, GA 30040-6654
Phone 678-689-9186
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