Organization
DISCOVER SPEECH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ADINA BRADSHAW MS CCC-SLP (CEO/SPEECH THERAPIST)
(404) 808-5770
Entity
Organization
Contact information
Practice address
6624 SAINT ABERNATHY DR SE, MABLETON, GA 30126-6409
(404) 808-5770
Mailing address
6624 SAINT ABERNATHY DR SE, MABLETON, GA 30126-6409
(404) 808-5770
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP005864
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
398770620B
—
GA
Enumeration date
01/20/2011
Last updated
01/20/2011
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