Individual
COLLEEN KINNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP, LMT
Contact information
Practice address
2025 CASTLE LAKE DR, TYRONE, GA 30290-2215
(470) 215-0543
Mailing address
2025 CASTLE LAKE DR, TYRONE, GA 30290-2215
(470) 215-0543
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT015158
GA
235Z00000X
Speech-Language Pathologist
SLP008597
GA
Other
Enumeration date
04/27/2016
Last updated
02/12/2025
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