Provider Demographics
NPI:1962660050
Name:SALEEBY, KATIE M (AUD)
Entity Type:Individual
Prefix:DR
First Name:KATIE
Middle Name:M
Last Name:SALEEBY
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4385 JOHNS CREEK PKWY
Mailing Address - Street 2:SUITE 250
Mailing Address - City:SUWANEE
Mailing Address - State:GA
Mailing Address - Zip Code:30024-6093
Mailing Address - Country:US
Mailing Address - Phone:770-623-1608
Mailing Address - Fax:678-992-2540
Practice Address - Street 1:4385 JOHNS CREEK PKWY
Practice Address - Street 2:SUITE 250
Practice Address - City:SUWANEE
Practice Address - State:GA
Practice Address - Zip Code:30024-6093
Practice Address - Country:US
Practice Address - Phone:770-623-1608
Practice Address - Fax:678-992-2540
Is Sole Proprietor?:No
Enumeration Date:2008-05-27
Last Update Date:2008-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAAUD003635231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist