Whalio Doctors

NPI 1184862856

About Face Speech and Language Services, LLC

Organisation Early Intervention Provider Agency Stockbridge, GA

Practice location

Address
309 Breezewood Court, Stockbridge, GA 30281
Phone
(678) 591-6524

Authorised official

Name
Dedra Sherise Bradham
Title
Owner/Agent
Phone
(678) 591-6524

Registered specialties (2)

Early Intervention Provider Agency Primary
Agencies Taxonomy 252Y00000X Licence SLP006318 (GA)
Home Health Agency
Agencies Taxonomy 251E00000X Licence SLP006318 (GA)

Registry record

NPI
1184862856
Entity type
Organization
NPI issued
3 Feb 2009
Record last updated
3 Feb 2009

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.