Individual
CAROLYN M O'HALLORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
545 OLD NORCROSS RD, SUITE 100, LAWRENCEVILLE, GA 30046-3389
(678) 377-2833
(678) 377-2882
Mailing address
675 SEMINOLE AVE NE, SUITE T05, ATLANTA, GA 30307-3408
(404) 575-4000
(404) 575-4010
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP005730
GA
235Z00000X
Speech-Language Pathologist
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—
Other
Enumeration date
08/30/2007
Last updated
09/27/2010
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