Individual
DR. DANIEL HALL SISTERHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
3265 KINGSHOUSE COMMONS, ALPHARETTA, GA 30022-7611
(770) 751-6992
Mailing address
3265 KINGSHOUSE COMMONS, ALPHARETTA, GA 30022-7611
(770) 751-6992
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AUD003083
GA
235Z00000X
Speech-Language Pathologist
SLP005188
GA
Other
Enumeration date
01/24/2008
Last updated
09/24/2008
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