Individual
PAULA RICHARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 LOGMONT TRCE, ATHENS, GA 30606-0609
(706) 215-1383
Mailing address
100 LOGMONT TRCE, ATHENS, GA 30606-0609
(706) 215-1383
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP001894
GA
Other
Enumeration date
04/04/2016
Last updated
04/04/2016
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