Provider Demographics
NPI:1083027502
Name:RODRIGUEZ, HELEN (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:HELEN
Middle Name:
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:641 NORTH AVE NE
Mailing Address - Street 2:SUITE 3403
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30308-2846
Mailing Address - Country:US
Mailing Address - Phone:404-680-1506
Mailing Address - Fax:
Practice Address - Street 1:641 NORTH AVE NE
Practice Address - Street 2:SUITE 3403
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30308-2846
Practice Address - Country:US
Practice Address - Phone:404-680-1506
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-03
Last Update Date:2017-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GASLP008472235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist