Organization · Type 2 NPI
Revive Athletics, Inc
Speech-Language Pathologist · Smyrna, GA
Practice location
460 Bourne Drive
Smyrna, GA 30082
Mailing address
2916 Lonesome Pine Lane
Atlanta, GA 30339-4114
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | None listed |
| Speech-Language Pathologist Primary | 235Z00000X | 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…
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About NPI 1487964193
Revive Athletics, Inc's National Provider Identifier is 1487964193, issued on Oct 15, 2010. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Smyrna, GA. The record was last updated on Oct 15, 2010.