Individual
MRS. CAREN MALIN DOLEYS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED, M.S., CCC-SLP
Contact information
Practice address
1120 REGIMENT DR NW, ACWORTH, GA 30101-8462
(678) 557-9581
(678) 574-6695
Mailing address
1120 REGIMENT DR NW, ACWORTH, GA 30101-8462
(678) 557-9581
(678) 574-6695
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP006735
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1013196435
ANTHEM BLUE CROSS BLUE SHIELD OF GEORGIA
—
05
—
289142893A
—
GA
Enumeration date
11/01/2007
Last updated
03/31/2023
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