Organization
GREEN PEDIATRIC THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATASHA GREEN ED. S CCC-SLP (SPEECH LANGUAGE PATHOLOGIST)
(318) 518-1686
Entity
Organization
Contact information
Practice address
4068 EMERALD LAKE DRIVE, DECATUR, GA 30035
(318) 518-1686
(470) 500-0289
Mailing address
4068 EMERALD LAKE DR, DECATUR, GA 30035-2735
(318) 518-1686
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
10/02/2023
Last updated
09/03/2025
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