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Organization
NATURALISTIC SPEECH & LANGUAGE
Active
Organization
NATURALISTIC SPEECH & LANGUAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANK THOMAS WHITE JR. CCC-M.ED. (SPEECH-LANGUAGE PATHOLOGIST)
(470) 331-3039
Entity
Organization
Contact information
Practice address
108 FORREST AVE, CARTERSVILLE, GA 30120-3614
(770) 926-2884
Mailing address
108 FORREST AVE, CARTERSVILLE, GA 30120-3614
(770) 926-2884
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
SLP004436
GA
235Z00000X
Speech-Language Pathologist
Primary
SLP009549
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000878457B
—
GA
05
—
003183029A
—
GA
05
—
003183029B
—
GA
Enumeration date
04/07/2018
Last updated
04/07/2018
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