Individual
SUSAN HAVILAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
555 OWENS FARM RD, ALPHARETTA, GA 30004-7300
(248) 894-2024
Mailing address
555 OWENS FARM RD, ALPHARETTA, GA 30004-7300
(248) 894-2024
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP004513
GA
Other
Enumeration date
02/10/2016
Last updated
02/10/2016
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