Lynda L. Wade M.S., CCC-SLP

NPI 1164675286 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1164675286
Gender Female
Enumeration Date 11/03/2008
Last Updated 11/03/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
3756 LAVISTA RD
SUITE 104
TUCKER GA, 30084-5614, US
Phone (404) 477-9400
Fax (770) 925-9759
Business Location
3756 LAVISTA RD
SUITE 104
TUCKER GA, 30084-5614, US
Phone (404) 477-9400
Fax (770) 925-9759
Toxanomy
Taxonomy Code 235Z00000X
License State Georgia
License Number SLP006865
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According to our database, Miss Lynda L. Wade M.S., CCC-SLP NPI is 1164675286, taxonomy code is 235Z00000X and license number is SLP006865, license state is located at Georgia. Lynda L. Wade M.S., CCC-SLP physically located at 3756 Lavista Rd, Tucker GA, 30084-5614. NPI Number Lynda L. Wade M.S., CCC-SLP has the Individual type.

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1164675286 NPI number is provided on an as is basis without warranty of any kind. 1164675286 is maintained by the National Plan & Provider Enumeration System. The contents of Lynda L. Wade M.S., CCC-SLP are for informational purposes only.