Individual
MR. MASAYUKI IWAHASHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CCC-SLP
Contact information
Practice address
404 KING SPRINGS VILLAGE PKWY SE, SMYRNA, GA 30082-4240
(770) 431-0816
Mailing address
2600 HOLCOMB SPRINGS DR, ALPHARETTA, GA 30022-5334
(404) 431-8360
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP006220
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SLP006220
STATE BOARD OF EXAMINERS
GA
Enumeration date
04/02/2008
Last updated
04/02/2008
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