Individual
REBECCA WALLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
740 PRINCE AVE, BLDG 2, ATHENS, GA 30606
(706) 367-1141
Mailing address
105 OAK HILL DR APT 3304, ATHENS, GA 30601-5400
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP012816
GA
Other
Enumeration date
10/24/2023
Last updated
10/24/2023
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