Individual
MRS. LEAH G. MAHADEO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
2217 ROSWELL RD STE 100, MARIETTA, GA 30062-2972
(770) 321-6600
(770) 321-5559
Mailing address
2217 ROSWELL RD STE 100, MARIETTA, GA 30062-2972
(770) 321-6600
(770) 321-5559
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP005462
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
132423622A
—
GA
Enumeration date
01/26/2012
Last updated
01/26/2012
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