Organization
COMMUNICATION STATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LEIGH BLACKBURN CANADY M.ED., (CCC-SLP)
(706) 364-1486
Entity
Organization
Contact information
Practice address
601 N BELAIR SQ, SUITE 19, EVANS, GA 30809-4321
(706) 364-1486
(706) 364-1487
Mailing address
601 N BELAIR SQ, SUITE 19, EVANS, GA 30809-4321
(706) 364-1486
(706) 364-1487
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
238975068A
—
GA
Enumeration date
02/18/2009
Last updated
02/18/2009
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