Individual
MR. JASON LEE AMOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.ED CCC-SLP, CBIS
Contact information
Practice address
3660 CHESTNUT RIDGE COURT, MARIETTA, GA 30062
(404) 358-1473
Mailing address
3660 CHESTNUT RIDGE CT, MARIETTA, GA 30062-5101
(404) 358-1473
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP006080
GA
Other
Enumeration date
09/13/2017
Last updated
07/21/2022
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