Individual
MRS. SUCHETA A KAMATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, MA, CCC-SLP
Contact information
Practice address
6100 LAKE FORREST DR NW, SUITE 108, ATLANTA, GA 30328-3822
(404) 493-0962
(404) 257-9768
Mailing address
6100 LAKE FORREST DR NW, SUITE 108, ATLANTA, GA 30328-3822
(404) 493-0962
(404) 257-9768
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
3769
MA
235Z00000X
Speech-Language Pathologist
Primary
SLP005116
GA
Other
Enumeration date
03/18/2009
Last updated
03/18/2009
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