Organization
PEDIATRIC SALT CLINIC, LLC
Active
Other names
Pediatric Salt Clinic, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SALLY MATHEWS M.ED., CCC-SLP (OWNER/SPEECH-LANGUAGE PATHOLOGIST)
(478) 697-0459
Entity
Organization
Contact information
Practice address
915 BOXWOOD DR, SAVANNAH, GA 31410-2829
(478) 697-0459
Mailing address
915 BOXWOOD DR, SAVANNAH, GA 31410-2829
(478) 697-0459
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
03/04/2021
Last updated
03/04/2021
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