Individual
MS. BHAIRVI MAYANK TRIVEDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 CARLTON ST # 593, ATHENS, GA 30602-5004
(706) 542-4598
Mailing address
159 E CLOVERHURST AVE APT 2, ATHENS, GA 30605-1244
(240) 780-6419
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP010449
GA
Other
Enumeration date
12/29/2020
Last updated
12/29/2020
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