Provider Demographics
NPI:1811199706
Name:VESSEL-MCGEE, ALETHEA (MED,CCC-SLP)
Entity Type:Individual
Prefix:
First Name:ALETHEA
Middle Name:
Last Name:VESSEL-MCGEE
Suffix:
Gender:F
Credentials:MED,CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1300 ABBEYGREEN CT
Mailing Address - Street 2:
Mailing Address - City:HIRAM
Mailing Address - State:GA
Mailing Address - Zip Code:30141-2895
Mailing Address - Country:US
Mailing Address - Phone:678-590-8457
Mailing Address - Fax:770-635-7543
Practice Address - Street 1:1300 ABBEYGREEN CT
Practice Address - Street 2:
Practice Address - City:HIRAM
Practice Address - State:GA
Practice Address - Zip Code:30141-2895
Practice Address - Country:US
Practice Address - Phone:678-590-8457
Practice Address - Fax:770-635-7543
Is Sole Proprietor?:No
Enumeration Date:2007-06-03
Last Update Date:2012-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC6354235Z00000X
GA007753235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7412107Medicaid