Individual
KATHLEEN ANDERSON THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED CF SLP
Contact information
Practice address
2700 N OAK ST, BLDG A, VALDOSTA, GA 31602-1772
(229) 244-1667
(229) 244-8253
Mailing address
2700 N OAK ST, BLDG A, VALDOSTA, GA 31602-1772
(229) 244-1667
(229) 244-8253
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP008070
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003131342A
—
GA
Enumeration date
01/11/2012
Last updated
10/24/2014
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