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Organization

SPEECH THERAPY ET AL LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BIBIAN JOHNSON SLP (OWNER)
(770) 898-3495
Entity
Organization

Contact information

Practice address
1530 PENNSYLVANIA AVE, MCDONOUGH, GA 30253
(770) 898-3495
(770) 898-3496
Mailing address
PO BOX 2155, MCDONOUGH, GA 30253-1730

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
AUD003765
GA
2355S0801X
Speech-Language Assistant
235Z00000X
Speech-Language Pathologist
Primary
SLP001995
GA
237600000X
Audiologist-Hearing Aid Fitter
AUD003765
GA

Other

Enumeration date
09/06/2018
Last updated
09/07/2018
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