Organization
COMMUNITY KIDS PEDIATRIC THERAPY SERVICES
Active
Other names
Community Speech Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BROOKE LARAYNE BARNES MS CCC-SLP (SPEECH THERAPIST/OWNER)
(770) 502-0303
Entity
Organization
Contact information
Practice address
3229 HIGHWAY 34 E STE 103, NEWNAN, GA 30265-2196
(770) 502-0303
Mailing address
90 GLENDA TRCE STE F, #414, NEWNAN, GA 30265-3868
(770) 502-0303
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP006883
GA
Other
Enumeration date
11/08/2013
Last updated
11/08/2013
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