Individual
MRS. STACEY LEVY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
4651 ROSWELL RD STE F501, SANDY SPRINGS, GA 30342-3051
(678) 358-8140
Mailing address
310 CRAIGHEAD DR, ATLANTA, GA 30319-1085
(678) 358-8140
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP004844
GA
Other
Enumeration date
04/06/2016
Last updated
06/08/2020
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