Individual
NEITA L RADER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
204 CALEB WAY, BYRON, GA 31008-3850
(316) 648-0642
Mailing address
204 CALEB WAY, BYRON, GA 31008-3850
(316) 648-0642
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP007221
GA
Other
Enumeration date
08/02/2010
Last updated
08/02/2010
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