Individual
KATELYNN RICKARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
3594 BAXLEY POINT DR, SUWANEE, GA 30024-8461
(770) 609-6789
Mailing address
5065 RIALTO WAY, CUMMING, GA 30040-7249
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP010864
GA
Other
Enumeration date
11/04/2019
Last updated
06/14/2022
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