Individual
SHAYNE PERKOVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8592 ROSWELL RD, ATLANTA, GA 30350-1865
(678) 352-9336
Mailing address
789 HAMMOND DR, #2803, ATLANTA, GA 30328-8161
(734) 612-6090
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP008837
GA
Other
Enumeration date
05/13/2015
Last updated
05/13/2015
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