Individual
RAQUELLE R SOUTHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
5820 VETERANS PKWY STE 210, COLUMBUS, GA 31904-3465
(706) 641-7313
Mailing address
3071 WILLIAMS RD APT 165, COLUMBUS, GA 31909-5688
(318) 664-3613
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP014236
GA
Other
Enumeration date
07/27/2026
Last updated
07/27/2026
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