NPI 1023456548

Stacy Gayle Bura, CCCSLP

Practitioner Speech-Language Pathologist Suwanee, GA

Practice location

Address: 5050 Research Court STE. 800, Suwanee, GA 30024
Phone: (770) 205-5551
Mailing address: 4870 La Moyne Lane, Alpharetta, GA 30022

Registered specialties (2)

Speech-Language Pathologist Primary

Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence SLP008054 (GA)

Other Speech-Language Pathologist providers in Georgia →

Speech-Language Pathologist

Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence 14065097 (GA)

Registry record

NPI: 1023456548
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Jun 2013
Record last updated: 6 Jun 2013

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.