Individual
KATHRYN FELDMAN FORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
413 W MONTGOMERY XRD STE 102, SAVANNAH, GA 31406-4321
(912) 354-4474
(912) 354-4443
Mailing address
33 SAPPHIRE ISLAND RD, SAVANNAH, GA 31410-1641
(404) 210-3463
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP004882
GA
Other
Enumeration date
12/14/2014
Last updated
12/05/2018
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