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NPI 1215670914ActiveIndividual· Speech-Language Pathologist· Brookhaven, GA

Speech-Language Pathologist in Brookhaven, Georgia, licensed in GA, with an NPI issued in April 2022.

Overview

NPI1215670914
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedApr 19, 2022
Last updated in NPPESMay 19, 2023
Certified by providerMay 19, 2023

Specialties and licenses

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary235Z00000XSLP012453GA
Speech-Language Pathologist235Z00000XPCET003518GA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Speech-Language Pathologist providers in Brookhaven

All Speech-Language Pathologist providers in Georgia →