Provider Demographics
NPI:1235339086
Name:BRINSON SPEECH THERAPY&ACCENT REDUCTION
Entity Type:Organization
Organization Name:BRINSON SPEECH THERAPY&ACCENT REDUCTION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:TRINA
Authorized Official - Middle Name:A
Authorized Official - Last Name:BRINSON
Authorized Official - Suffix:
Authorized Official - Credentials:CCC-SLP
Authorized Official - Phone:706-394-7670
Mailing Address - Street 1:1325 HIGHWOODS PASS
Mailing Address - Street 2:
Mailing Address - City:GROVETOWN
Mailing Address - State:GA
Mailing Address - Zip Code:30813-3994
Mailing Address - Country:US
Mailing Address - Phone:706-394-7670
Mailing Address - Fax:706-854-9743
Practice Address - Street 1:1325 HIGHWOODS PASS
Practice Address - Street 2:
Practice Address - City:GROVETOWN
Practice Address - State:GA
Practice Address - Zip Code:30813-3994
Practice Address - Country:US
Practice Address - Phone:706-394-7670
Practice Address - Fax:706-854-9743
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-19
Last Update Date:2007-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GASLP005596235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty