Individual
MCKENZI ROYALS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CF-SLP
Contact information
Practice address
809 N PATTERSON ST, VALDOSTA, GA 31601-4528
(229) 469-6932
Mailing address
809 N PATTERSON ST, VALDOSTA, GA 31601-4528
(229) 469-6932
(229) 469-6933
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PCET003492
—
GA
Enumeration date
11/02/2021
Last updated
11/02/2021
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