Individual
MRS. SUSIE ROBERTS MOYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
2440 WATSON SPRINGS RD, WATKINSVILLE, GA 30677-3622
(706) 255-1039
(706) 369-4492
Mailing address
2440 WATSON SPRINGS RD, WATKINSVILLE, GA 30677-3622
(706) 255-1039
(706) 369-4492
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP003326
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000761153A
—
GA
Enumeration date
06/13/2006
Last updated
03/31/2021
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