Individual
NITI R. SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., CCC-SLP
Contact information
Practice address
2323 CUMBERLAND PKWY SE STE 104, ATLANTA, GA 30339-4523
(770) 927-7424
Mailing address
2323 CUMBERLAND PKWY SE STE 104, ATLANTA, GA 30339-4523
(214) 293-5943
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP010630
GA
Other
Enumeration date
06/07/2019
Last updated
01/03/2022
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