Organization · Type 2 NPI

Middle Ga Pediatric Therapy LLC

Speech-Language Pathologist · Dry Branch, GA

NPI number 1639095474 Active

Practice location

4968 Old Gordon Rd
Dry Branch, GA 31020-1510

Fax (678) 302-7270

Mailing address

PO Box 102
Dry Branch, GA 31020-0102

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000XNone 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…

Another provider at this address

About NPI 1639095474

Middle Ga Pediatric Therapy LLC's National Provider Identifier is 1639095474, issued on Jun 25, 2026. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Dry Branch, GA. The record was last updated on Jun 25, 2026.