Organization
PAULA L SUMPLE, MS CCC-SLP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA SUMPLE (OWNER, SLP)
(404) 374-7956
Entity
Organization
Contact information
Practice address
1836 CONDOR DR NE, MARIETTA, GA 30066-1264
(404) 374-7956
(706) 553-8195
Mailing address
1836 CONDOR DR NE, MARIETTA, GA 30066-1264
(404) 374-7956
(706) 553-8195
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000806132D
—
GA
Enumeration date
10/05/2020
Last updated
10/05/2020
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