Organization
SPEECH LANGUAGE AND BEYOND, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHELY SELLERS CCC-SLP (OWNER-OPERATOR)
(229) 638-0627
Entity
Organization
Contact information
Practice address
514 DIVINE DR, ALBANY, GA 31721-9547
(229) 638-0627
(229) 496-5277
Mailing address
514 DIVINE DR, ALBANY, GA 31721-9547
(229) 638-0627
(229) 496-5277
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
SLP007125
GA
252Y00000X
Early Intervention Provider Agency
SLP007125
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
844552268B
—
GA
Enumeration date
04/12/2013
Last updated
04/12/2013
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