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Organization
SMALL STEPS PEDIATRIC SPEECH THERAPY,LLC
Active
Organization
SMALL STEPS PEDIATRIC SPEECH THERAPY,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA DANIELLE LONG M.ED, CCC-SLP (OWNER/SLP)
(912) 667-1614
Entity
Organization
Contact information
Practice address
5877 HWY 21 S, RINCON, GA 31326-5511
(912) 330-6127
(912) 335-3848
Mailing address
PO BOX 1220, RINCON, GA 31326-1220
(912) 667-1614
(912) 335-3848
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
252Y00000X
Early Intervention Provider Agency
SLP008055
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003134193A
—
GA
05
—
003340016A
—
GA
Enumeration date
03/22/2015
Last updated
08/30/2026
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