Organization
SPEECH CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON C HERRIN SLP (OWNER)
(912) 283-0777
Entity
Organization
Contact information
Practice address
1507 ALICE ST, WAYCROSS, GA 31501-4530
(912) 283-0777
(912) 283-7757
Mailing address
1415 ALICE ST, WAYCROSS, GA 31501-4528
(912) 283-0777
(912) 283-7757
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP005005
GA
Other
Enumeration date
08/22/2006
Last updated
10/18/2024
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