Organization
SPEECH BEGINNINGS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHANNON SUSANNE GONZALEZ M.A., CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST)
(478) 213-4604
Entity
Organization
Contact information
Practice address
5243 RIVERSIDE DR, # 1114, MACON, GA 31210-8803
(478) 213-4604
(478) 238-4796
Mailing address
PO BOX 26477, MACON, GA 31221-6477
(478) 213-4604
(478) 238-4796
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP005082
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000913844C
—
GA
Enumeration date
12/01/2006
Last updated
03/25/2013
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