Individual
MICHELLE SRIVASTAVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11785 NORTHFALL LN STE 501-502, ALPHARETTA, GA 30009-7971
(770) 569-2274
(770) 569-7432
Mailing address
21 FORREST PL, ATLANTA, GA 30328-4801
(314) 761-1942
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP010062
GA
Other
Enumeration date
04/08/2019
Last updated
09/18/2023
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