Organization
SPEECH AND LANGUAGE ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN CARREKER DAUGHTRY MCD,CCC-SLP (PRESIDENT)
(478) 397-7886
Entity
Organization
Contact information
Practice address
105 TAMIE CT, KATHLEEN, GA 31047-2222
(478) 397-7886
(478) 218-2715
Mailing address
105 TAMIE CT, KATHLEEN, GA 31047-2222
(478) 397-7886
(478) 218-2715
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
SLP001471
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000595966
—
GA
Enumeration date
01/11/2008
Last updated
07/11/2012
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