Individual provider · Type 1 NPI

Destiny Lacara Mack

Speech-Language Pathologist · Atlanta, GA

NPI number 1043864432 Active

Practice location

550 Fairburn Rd SW
Atlanta, GA 30331-2014

Mailing address

11009 Southwood Dr
Hampton, GA 30228-3498

Other practice locations

  • 11009 Southwood Dr, Hampton, GA 30228-3498 · (404) 913-2097

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000XPCET004155 (GA)
Speech-Language Assistant 2355S0801XSLPA000396 (GA)

Speech-Language Pathologist: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonan…

4 other providers at this address

Other speech-language pathologist providers in Atlanta

See all in Atlanta →

About NPI 1043864432

Destiny Lacara Mack's National Provider Identifier is 1043864432, issued on Jul 24, 2019. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Atlanta, GA. The record was last updated on Oct 26, 2026.