Individual
HEATHER NEELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC SLP
Contact information
Practice address
2515 DOUBLE CHURCHES RD, COLUMBUS, GA 31909-2742
(706) 660-5495
Mailing address
PO BOX 8068, COLUMBUS, GA 31908-8068
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP009606
GA
Other
Enumeration date
05/20/2016
Last updated
05/10/2017
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