Individual
MRS. JERRI KAY HICKMAN TEMPLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED. CCC-SLP
Contact information
Practice address
135 BROADWELL OAKS CT, ALPHARETTA, GA 30004-1589
(404) 964-4629
(770) 754-5998
Mailing address
135 BROADWELL OAKS CT, ALPHARETTA, GA 30004-1589
(404) 964-4629
(770) 754-5998
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP003974
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000809839A
—
GA
Enumeration date
10/02/2013
Last updated
10/02/2013
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