Individual
CRISTINA SALDANA-ILLINGWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
5975 PARKWAY NORTH BLVD, , SUITE 300B, CUMMING, GA 30040-1226
(770) 205-5551
(770) 205-5581
Mailing address
3014 ECHOLS RD, CUMMING, GA 30041-9485
(770) 870-8162
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP006391
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SLP006391
GEORGIA STATE LICENSE
GA
Enumeration date
08/11/2009
Last updated
08/11/2009
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