NPI 1003321522

Daniel Dewitt, CCCSLP

Practitioner Speech-Language Pathologist Loganville, GA

Practice location

Address: 311 Cooper Rd, Loganville, GA 30052-4976
Phone: (678) 205-5437
Mailing address: 2340 Matlin Way, Buford, GA 30519-7191

Registered specialties

Speech-Language Pathologist Primary

Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence SLP009349 (GA)

Other Speech-Language Pathologist providers in Georgia →

Registry record

NPI: 1003321522
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Dec 2017
Record last updated: 6 Dec 2017

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.