Individual
MISS HANIYFA REBEKAH NOEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
3111 ANTRIM CT NW, KENNESAW, GA 30152-5840
(917) 626-0185
Mailing address
3111 ANTRIM CT NW, KENNESAW, GA 30152-5840
(917) 626-0185
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
0179201
NY
235Z00000X
Speech-Language Pathologist
Primary
SLP008385
GA
Other
Enumeration date
02/08/2008
Last updated
06/16/2021
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