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Organization

PREFERRED PRACTICE THERAPY PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
L M SLP (SPEECH LANGUAGE PATHOLOGIST)
(213) 373-4479
Entity
Organization

Contact information

Practice address
1225 JOHNSON FERRY RD STE 880, MARIETTA, GA 30068-5419
(678) 653-9224
Mailing address
1225 JOHNSON FERRY RD STE 880, MARIETTA, GA 30068-5419
(678) 653-9224

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary

Other

Enumeration date
05/05/2026
Last updated
06/22/2026
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