Individual
MS. LYDIA ALTHEA HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
3160 OAKDALE RD, ATLANTA, GA 30354-1036
(404) 510-9605
Mailing address
830 GLENWOOD AVE SE STE 510-412, ATLANTA, GA 30316-1966
(404) 510-9605
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP008152
GA
Other
Enumeration date
05/01/2012
Last updated
06/23/2021
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