Individual
COURTNEY PROZZO GREGORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
6505 SHILOH RD, #100, ALPHARETTA, GA 30005-8405
(860) 302-0757
Mailing address
6505 SHILOH RD, #100, ALPHARETTA, GA 30005-8405
(860) 302-0757
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
008744
GA
235Z00000X
Speech-Language Pathologist
19479
CA
Other
Enumeration date
05/10/2013
Last updated
01/13/2016
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