Individual
MS. ELIZABETH (BETH) CONDI AUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SPEECH
Contact information
Practice address
563 LEES TRCE SW, MARIETTA, GA 30064-3075
(678) 522-3817
Mailing address
563 LEES TRCE SW, MARIETTA, GA 30064-3075
(678) 522-3817
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP000527
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000671558A
—
GA
Enumeration date
12/16/2006
Last updated
12/19/2008
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