Individual
ARIEL NICOLE BASDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
6035 PEACHTREE RD STE C120, DORAVILLE, GA 30360-3234
(327) 067-8514
Mailing address
1355 EUCLID AVE NE APT 6A, ATLANTA, GA 30307-1531
(703) 999-3073
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP010322
GA
Other
Enumeration date
10/10/2018
Last updated
03/21/2021
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