Individual
AMYE SLATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7162 LONE OAK WAY, LITHONIA, GA 30058-8291
(404) 606-3755
(877) 730-2912
Mailing address
38 CRAWFORD RD, SENOIA, GA 30276-2981
(770) 331-4456
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP003736
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SLP003736
GEORGIA STATE LICENSE
GA
Enumeration date
01/12/2016
Last updated
01/12/2016
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