Roberta Kruse MSP-CCC-SLP

NPI 1154419158 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1154419158
Gender Female
Enumeration Date 10/11/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
2315 CENTRAL AVE STE C
AUGUSTA GA, 30904-6246, US
Phone (706) 364-6172
Fax
Business Location
579 BAY HL
MARTINEZ GA, 30907-8993, US
Phone (706) 869-8402
Fax
Toxanomy
Taxonomy Code 235Z00000X
License State Georgia
License Number SLP006465
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According to our database, Roberta Kruse MSP-CCC-SLP NPI is 1154419158, taxonomy code is 235Z00000X and license number is SLP006465, license state is located at Georgia. Roberta Kruse MSP-CCC-SLP physically located at 2315 Central Ave Ste C, Augusta GA, 30904-6246. NPI Number Roberta Kruse MSP-CCC-SLP has the Individual type.

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1154419158 NPI number is provided on an as is basis without warranty of any kind. 1154419158 is maintained by the National Plan & Provider Enumeration System. The contents of Roberta Kruse MSP-CCC-SLP are for informational purposes only.