Provider Demographics
NPI:1174973085
Name:SPEAK2METHERAPY
Entity type:Organization
Organization Name:SPEAK2METHERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:AYATTA
Authorized Official - Middle Name:
Authorized Official - Last Name:HUNTER-JAMES
Authorized Official - Suffix:
Authorized Official - Credentials:MED,CCC-SLP
Authorized Official - Phone:919-656-1356
Mailing Address - Street 1:5011 TOWER VIEW TRL
Mailing Address - Street 2:
Mailing Address - City:SNELLVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30039-6535
Mailing Address - Country:US
Mailing Address - Phone:919-656-1356
Mailing Address - Fax:
Practice Address - Street 1:5011 TOWER VIEW TRL
Practice Address - Street 2:
Practice Address - City:SNELLVILLE
Practice Address - State:GA
Practice Address - Zip Code:30039-6535
Practice Address - Country:US
Practice Address - Phone:919-656-1356
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-21
Last Update Date:2016-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GASLP005654235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty