Individual
TASHA CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
722 AVONDALE HILLS DR, DECATUR, GA 30032-5829
(301) 646-0304
Mailing address
722 AVONDALE HILLS DR, DECATUR, GA 30032-5829
(301) 646-0304
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP007594
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12057433
AMERICAN SPEECH AND HEARING ASSOCIATION
—
01
—
SLP007594
GEORGIA BOARD OF EXAMINERS FOR SPEECH LANGUAGE PATHOLOGY
GA
Enumeration date
04/12/2010
Last updated
04/04/2024
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