Individual
MRS. JANELLE ELOISE BINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
4535 FLAT SHOALS PKWY, SUITE 301, DECATUR, GA 30034-5039
(704) 877-7710
Mailing address
1090 MONTCLAIR WAY, SNELLVILLE, GA 30078-7323
(704) 877-7710
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
016472
NY
235Z00000X
Speech-Language Pathologist
7687
NC
235Z00000X
Speech-Language Pathologist
Primary
SLP008593
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
146A7
BCBS
NC
05
—
7412765
—
NC
Enumeration date
04/17/2007
Last updated
03/03/2015
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