Individual
KERRI C MONFALCONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
3105 CREEKSIDE VILLAGE DR NW, SUITE 603/604, KENNESAW, GA 30144-2394
(770) 974-2424
(186) 638-4645
Mailing address
3105 CREEKSIDE VILLAGE DR NW, SUITE 603/604, KENNESAW, GA 30144-2394
(770) 974-2424
(186) 638-4645
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP007339
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7412266
—
NC
Enumeration date
11/08/2006
Last updated
05/31/2011
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