Individual
RAVEENA SUHANI KUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
545 OLD NORCROSS RD STE 200, LAWRENCEVILLE, GA 30046-3390
(678) 377-2833
(678) 502-7800
Mailing address
1546 SHETLAND PONY CT, SUWANEE, GA 30024-1851
(678) 646-7256
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP012935
GA
Other
Enumeration date
06/03/2024
Last updated
06/03/2024
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