Organization
TALK BACK THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANETT TOLLIVER SPEECH LANGUAGE PATH (OWNER)
(678) 963-8973
Entity
Organization
Contact information
Practice address
2805 CAMELOT WOODS DR, LAWRENCEVILLE, GA 30044-3550
(678) 963-8973
(470) 800-0701
Mailing address
2805 CAMELOT WOODS DR, LAWRENCEVILLE, GA 30044-3550
(678) 963-8973
(470) 800-0701
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
—
—
261QX0100X
Occupational Medicine Clinic/Center
—
—
Other
Enumeration date
05/03/2021
Last updated
05/03/2021
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