Individual
MICHELLE BANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., CCC-SLP
Contact information
Practice address
1000 HOLCOMB WOODS PKWY, SUITE 426, ROSWELL, GA 30076-2575
(770) 851-9553
Mailing address
1000 HOLCOMB WOODS PARKWAY, SUITE 426, ROSWELL, GA 30076
(770) 851-9553
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
005497
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
302864605
—
GA
Enumeration date
11/10/2006
Last updated
07/08/2007
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