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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

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Augmentative Communication Speech-Language Pathologist · FORT STEWART, GA

Registration Details

NPI Number
1063814556
Provider Type
Individual
Gender
Male
NPI Issued
Sep 16, 2014 (11.606497334652 yrs)
Last Updated
Sep 16, 2014
Licenses
115107N (CA)
115107 (CA)

Practice Information

Address
1601 HARMON DRIVE
FORT STEWART, GA, 31314
Browse GA providers · Browse ZIP 31314
Phone
9127673133
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.