Organization
SPEECH SOUNDS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER A CLECKLEY MA, CCC-SLP (SPEECH PATHOLOGIST)
(678) 471-5734
Entity
Organization
Contact information
Practice address
1459 FENWICK DR SW, MARIETTA, GA 30064-2783
(678) 471-5734
Mailing address
1459 FENWICK DR SW, MARIETTA, GA 30064-2783
(678) 471-5734
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003201399A
—
GA
Enumeration date
02/23/2018
Last updated
02/23/2018
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