Individual
REBECCA MCCANTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
272 CARRINGTON DR, ATHENS, GA 30605-7063
(706) 714-7917
Mailing address
272 CARRINGTON DR, ATHENS, GA 30605-7063
(706) 714-7917
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
PCET003446
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PCET003446
STATE LICENSE
GA
Enumeration date
08/25/2021
Last updated
05/24/2023
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