Provider Demographics
NPI:1013007087
Name:POPE, MARIA PINERO
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:PINERO
Last Name:POPE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:268 FORKNER DR
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30030-1660
Mailing Address - Country:US
Mailing Address - Phone:678-446-0902
Mailing Address - Fax:
Practice Address - Street 1:268 FORKNER DR
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30030-1660
Practice Address - Country:US
Practice Address - Phone:404-981-2692
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-13
Last Update Date:2021-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist