Individual
MS. GALE ANN SEVENER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP-M.A. CCC-SLP
Contact information
Practice address
173 STONYBROOK CT, ATHENS, GA 30605-4344
(706) 549-6894
(706) 549-6894
Mailing address
173 STONYBROOK CT, ATHENS, GA 30605-4344
(706) 549-6894
(706) 549-6894
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP003230
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00063773E
—
GA
Enumeration date
10/10/2007
Last updated
10/10/2007
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