Individual
SHARAY D LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1514 CLEVELAND AVE STE 101, EAST POINT, GA 30344-6977
(678) 322-8255
Mailing address
1514 CLEVELAND AVE STE 101, EAST POINT, GA 30344-6977
(678) 322-8255
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
GA
Other
Enumeration date
03/12/2021
Last updated
03/12/2021
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