Individual
REGINA SUSAN ARVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS-SLP
Contact information
Practice address
3720 SOMERSET RDG NW, KENNESAW, GA 30144-5716
(770) 427-8117
(770) 427-8117
Mailing address
3720 SOMERSET RDG NW, KENNESAW, GA 30144-5716
(770) 427-8117
(770) 427-8117
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP001800
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000687178E
—
GA
Enumeration date
03/15/2007
Last updated
09/27/2010
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