Individual
MRS. KELLIE L BAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED.
Contact information
Practice address
593 ADERHOLD HALL, UNIVERSITY OF GEORGIA SPEECH AND HEARING CLINIC, ATHENS, GA 30602
(706) 542-4598
Mailing address
593 ADERHOLD HALL, UNIVERSITY OF GEORGIA SPEECH AND HEARING CLINIC, ATHENS, GA 30602
(706) 542-6157
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP006674
GA
Other
Enumeration date
10/03/2007
Last updated
10/03/2007
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