Organization
SPEECH THERAPY TELEPRACTICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONICA D SUTHERLAND (OWNER)
(678) 456-5513
Entity
Organization
Contact information
Practice address
470 CREPE MYRTLE TER, JOHNS CREEK, GA 30005-4693
(678) 456-5513
Mailing address
3245 PEACHTREE PKWY STE D-404, SUWANEE, GA 30024-6054
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/16/2020
Last updated
06/16/2020
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