Individual
AMY HYATT FONSECA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED.
Contact information
Practice address
3105 CREEKSIDE VILLAGE DR NW STE 604, KENNESAW, GA 30144-4218
(770) 974-2424
(866) 384-6451
Mailing address
350 OLD MOUNTAIN RD, POWDER SPRINGS, GA 30127-4315
(678) 485-7324
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP007033
GA
Other
Enumeration date
02/17/2025
Last updated
02/17/2025
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