Organization
SOVEREIGN THERAPY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. APRIL A MCRAE SLP.D.,CCC-SLP (SPEECH LANGUAGE PATHOLOGIST/CEO)
(678) 421-4351
Entity
Organization
Contact information
Practice address
3867 HOLCOMB BRIDGE RD STE 400, PEACHTREE CORNERS, GA 30092-2232
(678) 421-4351
Mailing address
925 PEACHTREE ST NE STE B-509, ATLANTA, GA 30309-3918
(678) 421-4351
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
—
GA
2081P0010X
Pediatric Rehabilitation Medicine Physician
—
GA
222Q00000X
Developmental Therapist
—
GA
225X00000X
Occupational Therapist
—
GA
235Z00000X
Speech-Language Pathologist
SLP006498
GA
235Z00000X
Speech-Language Pathologist
Primary
—
GA
Other
Enumeration date
06/18/2017
Last updated
08/13/2017
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