Individual
LA-TANYA ROWE MATTHIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,CCC-SLP
Contact information
Practice address
2385 LAWRENCEVILLE HWY, DECATUR, GA 30033-3168
(404) 289-4270
Mailing address
2320 OAKTON PL SE, SMYRNA, GA 30082-5255
(954) 609-0802
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
SA9373
FL
235Z00000X
Speech-Language Pathologist
Primary
SLP008466
GA
Other
Enumeration date
07/31/2008
Last updated
04/29/2018
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