Diana Godwin Waldrep SLP

NPI 1124261938 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1124261938
Gender Female
Enumeration Date 04/08/2009
Last Updated 04/08/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
1013 RIVERBURCH PKWY
SUITE 4
DALTON GA, 30721-8887, US
Phone (866) 261-8090
Fax (706) 226-7869
Business Location
1013 RIVERBURCH PKWY
SUITE 4
DALTON GA, 30721-8887, US
Phone (866) 261-8090
Fax
Toxanomy
Taxonomy Code 235Z00000X
License State Georgia
License Number PCET001409
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According to our database, Diana Godwin Waldrep SLP NPI is 1124261938, taxonomy code is 235Z00000X and license number is PCET001409, license state is located at Georgia. Diana Godwin Waldrep SLP physically located at 1013 Riverburch Pkwy, Dalton GA, 30721-8887. NPI Number Diana Godwin Waldrep SLP has the Individual type.

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1124261938 NPI number is provided on an as is basis without warranty of any kind. 1124261938 is maintained by the National Plan & Provider Enumeration System. The contents of Diana Godwin Waldrep SLP are for informational purposes only.