Individual
HEATHER MILLER THAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
225 RIDGELAND AVE UNIT 402, DECATUR, GA 30030-2057
(404) 268-2815
Mailing address
225 RIDGELAND AVE, DECATUR, GA 30030-2057
(404) 268-2815
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
PCET002145
GA
Other
Enumeration date
02/09/2015
Last updated
11/12/2025
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