Organization · Type 2 NPI

Bstsa Inc dba Spectrum Therapy Center

Speech-Language Pathologist · Snellville, GA

NPI number 1245796424 Active

Practice location

2346 Wisteria Dr
Snellville, GA 30078

Call (770) 609-6789 Map

Fax (678) 395-4901

Mailing address

1373 Chloe Dr
Lawrenceville, GA 30043-8383

Specialties and licenses

Taxonomy	Code	License
Speech-Language Pathologist Primary	235Z00000X	None listed
Physical Therapy Clinic/Center	261QP2000X	None listed
Primary Care Clinic/Center	261QP2300X	None listed
Occupational Medicine Clinic/Center	261QX0100X	None listed

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…

2 other providers at this address

Other speech-language pathologist providers in Snellville

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NPI record

NPI: 1245796424
Entity type: Organization (Type 2)
Issued: Feb 13, 2019
Last updated: Jul 22, 2020
Status: Active

Other names

<unavail>
Spectrum Therapy Center · doing business as
Spectrum Therapy Center · doing business as

Authorized official

Bradford Lee Tucker
President
(770) 609-6789

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1245796424

Bstsa Inc dba Spectrum Therapy Center's National Provider Identifier is 1245796424, issued on Feb 13, 2019. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Snellville, GA. The record was last updated on Jul 22, 2020.