Individual
JOHANNAH DEITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. ED., CCC-SLP
Contact information
Practice address
566 MURPHY HWY, BLAIRSVILLE, GA 30512-3068
(706) 525-5752
Mailing address
140 JIMS RD, BLAIRSVILLE, GA 30512-8133
(069) 944-0607
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
011207
GA
Other
Enumeration date
01/11/2023
Last updated
01/11/2023
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