Individual
MRS. LISA NEFF RYDAROWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3418 CRANBORNE CHASE, MARIETTA, GA 30062-7413
(770) 509-9143
(770) 509-9143
Mailing address
3418 CRANBORNE CHASE, MARIETTA, GA 30062-7413
(770) 509-9143
(770) 509-9143
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
SLP001517
GA
235Z00000X
Speech-Language Pathologist
SLP001517
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00547125
ASHA CERTIFICATION
—
01
—
SLP001517
STATE LIC.-SLP
GA
Enumeration date
12/22/2006
Last updated
09/11/2025
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