Individual
INGRID SPEED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1640 POWERS FERRY RD SE, MARIETTA, GA 30067-5491
(888) 551-5168
Mailing address
1640 POWERS FERRY RD SE, MARIETTA, GA 30067-5491
(888) 551-5168
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
103K00000X
Behavior Analyst
—
—
Other
Enumeration date
02/04/2022
Last updated
02/04/2022
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