NPI 1053818351

Southern Pediatric Speech Therapy LLC

Organisation Early Intervention Provider Agency Bloomingdale, GA

Practice location

Address: 108 Walnut St, Bloomingdale, GA 31302-8535
Phone: (912) 658-6433

Authorised official

Name: Holly Hales
Title: Owner
Phone: (912) 658-6433

Registered specialties

Early Intervention Provider Agency Primary

Agencies Taxonomy 252Y00000X

Other Early Intervention Provider Agency providers in Georgia →

Registry record

NPI: 1053818351
Entity type: Organization
NPI issued: 12 Apr 2018
Record last updated: 16 Jun 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.