Individual
MISS JENNIFER RUDOLPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
1185 COLLIER RD NW, APT 2129, ATLANTA, GA 30318-8232
(205) 492-2507
(678) 922-2267
Mailing address
1185 COLLIER RD NW, APT 2129, ATLANTA, GA 30318-8232
(205) 492-2507
(678) 922-2267
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP006778
GA
Other
Enumeration date
10/17/2008
Last updated
03/16/2016
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