Provider Demographics
NPI:1790045235
Name:SAUNDERS, NYOTA A (SLP)
Entity Type:Individual
Prefix:MRS
First Name:NYOTA
Middle Name:A
Last Name:SAUNDERS
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1805 MARCELINA LN
Mailing Address - Street 2:
Mailing Address - City:MCDONOUGH
Mailing Address - State:GA
Mailing Address - Zip Code:30253-2200
Mailing Address - Country:US
Mailing Address - Phone:404-808-0630
Mailing Address - Fax:404-808-0630
Practice Address - Street 1:1805 MARCELINA LN
Practice Address - Street 2:
Practice Address - City:MCDONOUGH
Practice Address - State:GA
Practice Address - Zip Code:30253-2200
Practice Address - Country:US
Practice Address - Phone:404-808-0630
Practice Address - Fax:404-521-4330
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-17
Last Update Date:2023-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GASLP007947235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist