Organization
BROOKHAVEN SPEECH,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY PICHAN SLP (OWNER)
(904) 540-6762
Entity
Organization
Contact information
Practice address
77 E ANDREWS DR NW, ATLANTA, GA 30305-1370
(904) 540-6762
Mailing address
2870 PEACHTREE RD NW # 293, ATLANTA, GA 30305-2918
(904) 540-6762
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
11/08/2017
Last updated
11/08/2017
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