Organization
EMERGE PEDIATRIC THERAPY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY LA SHAWN DORSEY CCC/SLP (SPEECH LANGUAGE PATHOLOGIST/CEO)
(404) 565-4472
Entity
Organization
Contact information
Practice address
65 TRELAWNEY CT, COVINGTON, GA 30016-6879
(404) 565-4472
Mailing address
65 TRELAWNEY CT, COVINGTON, GA 30016-6879
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/01/2023
Last updated
06/01/2023
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