Individual
AMBER COLBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED, CCC-SLP
Contact information
Practice address
212 KENSINGTON TRCE, STOCKBRIDGE, GA 30281-6907
(678) 542-5502
Mailing address
212 KENSINGTON TRCE, STOCKBRIDGE, GA 30281-6907
(678) 542-5502
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP010273
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003227685D
—
GA
Enumeration date
08/14/2018
Last updated
03/14/2022
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