Mary Mandy Smith M. ED. CCC-SLP

NPI 1629271960 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1629271960
Gender Female
Enumeration Date 06/06/2007
Last Updated 01/21/2015
Entity Type Individual
Active Over 9 years ago
Practice Location
11835 ALPHARETTA HWY
ROSWELL GA, 30076-4929, US
Phone (404) 785-8500
Fax
Business Location
5201 CENTER HILL CHURCH RD
LOGANVILLE GA, 30052-7226, US
Phone (404) 513-6355
Fax
Toxanomy
Taxonomy Code 235Z00000X
License State Georgia
License Number PCET001193
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According to our database, Ms. Mary Mandy Smith M. ED. CCC-SLP NPI is 1629271960, taxonomy code is 235Z00000X and license number is PCET001193, license state is located at Georgia. Mary Mandy Smith M. ED. CCC-SLP physically located at 11835 Alpharetta Hwy, Roswell GA, 30076-4929. NPI Number Mary Mandy Smith M. ED. CCC-SLP has the Individual type.

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1629271960 NPI number is provided on an as is basis without warranty of any kind. 1629271960 is maintained by the National Plan & Provider Enumeration System. The contents of Mary Mandy Smith M. ED. CCC-SLP are for informational purposes only.