Individual
ILYANA R. MORALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. SLP
Contact information
Practice address
4116 PRESTON POINTE WAY, CUMMING, GA 30041-6145
(770) 464-6254
Mailing address
PO BOX 2241, SUWANEE, GA 30024-0063
(770) 464-6254
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
0003012
PR
235Z00000X
Speech-Language Pathologist
Primary
SLP010613
GA
Other
Enumeration date
11/16/2014
Last updated
06/21/2020
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