Individual
MR. ELISAMUEL RIVERA GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., CCC-SLP
Contact information
Practice address
1875 CENTURY BLVD NE STE 200, ATLANTA, GA 30345-3314
(404) 633-8911
Mailing address
1875 CENTURY BLVD NE STE 200, ATLANTA, GA 30345-3314
(404) 633-8911
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP011025
GA
Other
Enumeration date
05/13/2020
Last updated
05/15/2022
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