Individual
MARY PATRICIA PICHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP CCC
Contact information
Practice address
2870 PEACHTREE RD. #293, ATLANTA, GA 32080
(904) 540-6762
Mailing address
2870 PEACHTREE RD. #293, ATLANTA, GA 32080
(904) 540-6762
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP003055
GA
Other
Enumeration date
06/15/2017
Last updated
07/21/2022
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