Individual
GRETTA CHRISTINE ROBERTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS-CCC-SLP
Contact information
Practice address
4010 PHILLIPSITE LN, CUMMING, GA 30040-6178
(770) 292-9846
Mailing address
4010 PHILLIPSITE LN, CUMMING, GA 30040-6178
(770) 292-9846
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP006649
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
738798939A
—
GA
Enumeration date
05/19/2008
Last updated
07/29/2009
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