Individual
GRAHAM G PASCHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1060 GAINES SCHOOL RD, ATHENS, GA 30605-3198
(770) 335-6912
Mailing address
270 FOREST RD, ATHENS, GA 30605-3818
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SLP008469
PROFESSIONAL LICENSE
GA
Enumeration date
08/10/2020
Last updated
12/07/2022
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