Individual
ANDREA L SEIB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1949 HIGHWAY 81 STE 100, LOGANVILLE, GA 30052-4583
(770) 207-6390
Mailing address
1949 HIGHWAY 81 STE 100, LOGANVILLE, GA 30052-4583
(770) 207-6390
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SLP011413
PROFESSIONAL LICENSE
—
Enumeration date
03/11/2021
Last updated
03/11/2021
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