Individual
TAEAN M RICHMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
604 WASHINGTON ST. SUITE B2, GAINESVILLE, GA 30501
(770) 534-5141
(770) 534-5141
Mailing address
604 WASHINGTON ST. SUITE B2, GAINESVILLE, GA 30501
(770) 534-5141
(770) 534-5141
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP008052
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003032801A
—
GA
Enumeration date
01/11/2012
Last updated
06/30/2014
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