Organization
PROGRESSIVE SPEECH THERAPY SERVICES, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CARLAISE ARLAINA GADSDEN CCC-SLP (OWNER/SPEECH-LANGUAGE PATHOLOGIST)
(843) 870-2339
Entity
Organization
Contact information
Practice address
375 ROCKBRIDGE RD NW, STE 172-247, LILBURN, GA 30047-8225
(843) 870-2339
(912) 550-4355
Mailing address
375 ROCKBRIDGE RD NW, STE 172-247, LILBURN, GA 30047-8225
(843) 870-2339
(912) 550-4355
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
—
—
235Z00000X
Speech-Language Pathologist
Primary
SLP008564
GA
235Z00000X
Speech-Language Pathologist
SLP5559
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003150912A
—
GA
Enumeration date
12/04/2014
Last updated
08/12/2016
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