Individual
MS. CHANDA BROOKE CANALIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED. CCC SLP
Contact information
Practice address
775 SUNSET DR, ATHENS, GA 30606-2211
(706) 425-1543
(706) 425-1553
Mailing address
775 SUNSET DR, ATHENS, GA 30606-2211
(706) 425-1543
(706) 425-1553
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP006471
GA
Other
Enumeration date
01/02/2012
Last updated
01/02/2012
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