Organization
JOHN W. LOOPER JR. SPEECH & HEARING CLINIC
Active
Other names
Looper Speech & Hearing Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHIE LANE EDWARDS MA (PRESIDENT/CEO)
(706) 226-4623
Entity
Organization
Contact information
Practice address
1011 PROFESSIONAL BLVD, DALTON, GA 30720-2506
(706) 226-4623
(706) 278-0580
Mailing address
1011 PROFESSIONAL BLVD, DALTON, GA 30720-2506
(706) 226-4623
(706) 278-0580
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
J213493
GA
235Z00000X
Speech-Language Pathologist
Primary
J213493
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000196314A
—
GA
Enumeration date
08/08/2006
Last updated
06/12/2009
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