Individual
SHAVAUGHN R YORK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
4535 FLAT SHOALS PKWY STE 301, DECATUR, GA 30034-5039
(251) 209-5053
Mailing address
40 AMANDA DR APT 703, LITHONIA, GA 30058-7490
(251) 209-5053
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP007245
GA
Other
Enumeration date
07/02/2013
Last updated
07/02/2013
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