Organization
SPEECH THERAPY ONLINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. HANIYFA NOEL (HEAD SPEECH PATHOLOGIST)
(917) 626-0185
Entity
Organization
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
Primary
—
—
Other
Enumeration date
06/09/2022
Last updated
06/09/2022
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