NPI 1104804574

Laticia Peck, SLP

Practitioner Speech-Language Pathologist Grayson, GA

Practice location

Address: 1165 Pine Lake Dr, Grayson, GA 30017-7926
Phone: (678) 852-4022
Fax: (770) 972-5577

Registered specialties

Speech-Language Pathologist Primary

Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence SLP005865 (GA)

Other Speech-Language Pathologist providers in Georgia →

Registry record

NPI: 1104804574
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Jan 2006
Record last updated: 28 Apr 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.