Individual
MISS REBECCA GOLDEN WALDROP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, CCC-SLP
Contact information
Practice address
117 3RD ST E, TIFTON, GA 31794
(478) 455-1171
(229) 329-4532
Mailing address
PO BOX 7662, TIFTON, GA 31793-7662
(478) 455-1171
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP008926
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14058959
AMERICAN SPEECH LANGUAGE HEARING ASSOCIATION
—
Enumeration date
11/17/2015
Last updated
05/18/2018
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