Organization
GEORGIA INSTITUTE OF SPEECH AND LANGUAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSE ANTOINETTE MATTHEWS M.S., CCC-SLP (OWNER/SPEECH LANGUAGE PATHOLOGIST)
(301) 825-4201
Entity
Organization
Contact information
Practice address
112 RADCLIFFE DR, MCDONOUGH, GA 30253-8371
(301) 825-4201
Mailing address
112 RADCLIFFE DR, MCDONOUGH, GA 30253-8371
(301) 825-4201
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
01/27/2021
Last updated
03/29/2024
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