Individual
MRS. REBEKAH A O'CONNOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC, SLP
Contact information
Practice address
3295 LAKE SEMINOLE PL, BUFORD, GA 30519-3781
(770) 614-5646
Mailing address
3295 LAKE SEMINOLE PL, BUFORD, GA 30519-3781
(770) 614-5646
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP004223
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000937505A
—
GA
05
—
000937505B
—
GA
Enumeration date
11/02/2006
Last updated
09/05/2008
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