Organization
SPEECH THEREPEZE, INC.
Active
Other names
Progressive Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ERIKA VONTRECYE ROBINSON M.S. CCC-SLP (SPEECH/LANGUAGE PATHOLOGIST/OWNER)
(404) 551-0222
Entity
Organization
Contact information
Practice address
2855 CANDLER RD, SUITE 14, DECATUR, GA 30034-1415
(404) 328-0055
(770) 696-3022
Mailing address
4979 TADMORE LN, LITHONIA, GA 30038-2237
(404) 551-0222
(770) 696-3022
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP006022
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
440163644A
—
GA
Enumeration date
08/19/2010
Last updated
08/19/2010
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