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PREFERRED PRACTICE SPEECH PATHOLOGY LLC NPI 1063097889


NPI Information

NPI: 1063097889
Provider Name: PREFERRED PRACTICE SPEECH PATHOLOGY, LLC
Classification: Clinic/Center - 261QH0700X
Entity Type: Organization

Specialization: Hearing and Speech

Address:
PREFERRED PRACTICE SPEECH PATHOLOGY, LLC
1700 NORTHSIDE DRIVE SUITE A7 PMB 801
ATLANTA, GA
ZIP 30318
Phone: (310) 890-7720
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PREFERRED PRACTICE SPEECH PATHOLOGY, LLC is a hearing and speech clinic center in Atlanta, GA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, prescriptive, and therapy services related to congenital and acquired conditions and diseases that affect hearing capacity and speech ability. PREFERRED PRACTICE SPEECH PATHOLOGY, LLC NPI is 1063097889. The provider is registered as an organization entity type.

The provider's business location address is:

PREFERRED PRACTICE SPEECH PATHOLOGY, LLC
1700 NORTHSIDE DRIVE SUITE A7 PMB 801
ATLANTA, GA
ZIP 30318
Phone: (310) 890-7720
Fax: (404) 645-7787

The provider's authorized official is Lorna Manuel-moten .
The authorized official title is Owner and has the following contact phone number (310) 890-7720.

The enumeration date for this NPI number is 3/12/2021 and was last updated on 3/12/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QH0700XClinic/CenterHearing and SpeechYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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