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Individual

ASHLEY PIQUETTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.ED., CCC-SLP

Contact information

Practice address
112 THREE WEST PKWY, VILLA RICA, GA 30180-4778
(770) 459-6533
(770) 462-1260
Mailing address
112 THREE WEST PKWY, VILLA RICA, GA 30180-4778
(770) 459-6533
(770) 462-1260

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP003031
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000670755D
GA
05
000670755E
GA
05
000670755F
GA
Enumeration date
03/06/2007
Last updated
06/19/2026
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