Provider Demographics
NPI:1639693740
Name:THOMAS, ISIS FRANCHESCA (CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:ISIS
Middle Name:FRANCHESCA
Last Name:THOMAS
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 PERRY ST STE 109
Mailing Address - Street 2:
Mailing Address - City:NEWNAN
Mailing Address - State:GA
Mailing Address - Zip Code:30263-1918
Mailing Address - Country:US
Mailing Address - Phone:678-633-4279
Mailing Address - Fax:678-877-8066
Practice Address - Street 1:1741 NEWNAN CROSSING BLVD E
Practice Address - Street 2:STE O- 579
Practice Address - City:NEWNAN
Practice Address - State:GA
Practice Address - Zip Code:30265-0006
Practice Address - Country:US
Practice Address - Phone:478-747-1092
Practice Address - Fax:678-877-8066
Is Sole Proprietor?:No
Enumeration Date:2017-07-31
Last Update Date:2022-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA9787235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist