Individual
ALYCIA BAUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
365 S INDUSTRIAL BLVD, CALHOUN, GA 30701-3075
(706) 624-3000
(706) 624-3001
Mailing address
365 S INDUSTRIAL BLVD, CALHOUN, GA 30701-3075
(706) 624-3000
(706) 624-3001
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
41YS00403400
NJ
235Z00000X
Speech-Language Pathologist
6092
SC
235Z00000X
Speech-Language Pathologist
SL007286
PA
235Z00000X
Speech-Language Pathologist
Primary
SLP008164
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SA1815
—
SC
Enumeration date
05/15/2009
Last updated
11/11/2020
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