Individual
JANAYE ARLIVIA JASPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
4287 HIGH PARK LN, EAST POINT, GA 30344-7043
(706) 766-6605
Mailing address
4287 HIGH PARK LN, EAST POINT, GA 30344-7043
(706) 766-6605
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP011653
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SLP011653
STATE LICENSE
GA
Enumeration date
07/21/2021
Last updated
09/16/2022
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