Individual
MARIYA T SYDOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22 BUFORD VILLAGE WAY STE 229, BUFORD, GA 30518-8846
(470) 589-1218
Mailing address
747 RALPH MCGILL BLVD NE UNIT 1256, ATLANTA, GA 30312-1136
(228) 731-7505
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
PCET003393
GA
235Z00000X
Speech-Language Pathologist
Primary
SLP012248
GA
Other
Enumeration date
11/16/2021
Last updated
06/11/2026
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