Organization
LISA L. GENTRY SPEECH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA LOVERN GENTRY M.ED., CCC-SLP (SPEECH LANGUAGE PATHOLOGIST)
(404) 219-4178
Entity
Organization
Contact information
Practice address
1512 BRUXTON CT, LOGANVILLE, GA 30052-2965
(404) 219-4178
Mailing address
1512 BRUXTON CT, LOGANVILLE, GA 30052-2965
(404) 219-4178
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/24/2026
Last updated
06/24/2026
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