Individual
MS. AMY J WAITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA/CCC-SLP
Contact information
Practice address
2433 MISTLETOE LN, SNELLVILLE, GA 30039-4044
(678) 863-5327
Mailing address
2433 MISTLETOE LN, SNELLVILLE, GA 30039-4044
(678) 863-5327
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP005210
GA
Other
Enumeration date
12/03/2015
Last updated
12/03/2015
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