Organization
KIDZ THERAPY SPOT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLEEN S. JOHNSON M.S., CCC-SLP (OWNER/LEAD THERAPIST)
(678) 305-9200
Entity
Organization
Contact information
Practice address
3040 HIGHLANDS PKWY SE, SUITE B, SMYRNA, GA 30082-5176
(678) 305-9200
(678) 305-9201
Mailing address
3040 HIGHLANDS PKWY SE, SUITE B, SMYRNA, GA 30082-5176
(678) 305-9200
(678) 305-9201
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP005769
GA
Other
Enumeration date
05/24/2012
Last updated
05/24/2012
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