Individual
HEATHER KNOWLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS.CCC-SLP
Contact information
Practice address
304 E 6TH AVE, ROME, GA 30161-6000
(706) 378-9044
(706) 378-9046
Mailing address
390 MOUNTAIN VIEW RD SE, ROME, GA 30161-8536
(706) 378-9044
(706) 378-9046
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP005174
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10047183
—
GA
05
—
336856
—
GA
01
—
52882185
BLUE CROSS BLUE SHEILD
GA
Enumeration date
01/22/2007
Last updated
07/09/2007
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