Individual
MRS. ALLISON LEIGH WIRTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED, CCC-SLP
Contact information
Practice address
6600 PEACHTREE DUNWOODY RD NE, BUILDING 400, SUITE 125, ATLANTA, GA 30328-6773
(770) 225-8421
Mailing address
6600 PEACHTREE DUNWOODY RD NE, BUILDING 400, SUITE 125, ATLANTA, GA 30328-6773
(770) 225-8421
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP005426
GA
Other
Enumeration date
10/14/2011
Last updated
10/14/2011
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