Individual
MS. ABBY ELYCE MATHIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
6035 PEACHTREE RD STE C120, DORAVILLE, GA 30360-3234
(678) 514-3270
Mailing address
1514 SHERIDAN RD NE APT 2212, ATLANTA, GA 30324-5468
(713) 562-5401
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP011071
GA
Other
Enumeration date
08/31/2020
Last updated
08/31/2020
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