Organization
SPEECHTREE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHEVON WALKER M.S. CCC-SLP (SPEECH LANGUAGE PATHOLOGIST)
(404) 617-4930
Entity
Organization
Contact information
Practice address
620 PEACHTREE ST NE, UNIT 1802, ATLANTA, GA 30308-2313
(404) 617-4930
Mailing address
620 PEACHTREE ST NE, UNIT 1802, ATLANTA, GA 30308-2313
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP008700
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N0615768604-8
HPSO
GA
Enumeration date
02/09/2017
Last updated
02/09/2017
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