Individual
MRS. TAUNISHA DAWN SUMMERVILLE MCNEILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
2331 GREENSIDE DR, AUSTELL, GA 30106-8249
(770) 941-6770
(678) 317-0890
Mailing address
2331 GREENSIDE DR, AUSTELL, GA 30106-8249
(770) 941-6770
(678) 317-0890
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP005974
GA
Other
Enumeration date
01/30/2013
Last updated
02/01/2013
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