Organization
FUNDAMENTAL SPEECH THERAPY SERVICES INC.
Active
Parent organization
FUNDAMENTAL SPEECH THERAPY SERVICES INC.
Other names
Fundamental Focus
Organization subpart
Yes
Provider details
NPI number
Legal business name
FUNDAMENTAL SPEECH THERAPY SERVICES INC.
Authorized official
DR. LABRITA JEANENE CASH-BASKETT CCC-SLP (PRESIDENT/OWNER)
(770) 317-5993
Entity
Organization
Contact information
Practice address
2562 FAIRBURN RD, DOUGLASVILLE, GA 30135-1461
(770) 317-5993
Mailing address
1015 BRIDGE MILL AVE, CANTON, GA 30114-7797
(770) 317-5993
Taxonomy
Speciality
Code
Description
License number
State
261QA3000X
Augmentative Communication Clinic/Center
0005319
GA
261QH0700X
Hearing and Speech Clinic/Center
Primary
0005319
GA
Other
Enumeration date
05/06/2014
Last updated
05/06/2014
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