Organization · Type 2 NPI

Fundamental Speech Therapy Services Inc.

Hearing and Speech Clinic/Center · Douglasville, GA

NPI number 1649680141 Active

Practice location

2562 Fairburn Rd
Douglasville, GA 30135-1461

Call (770) 317-5993 Map

Mailing address

1015 Bridge Mill Ave
Canton, GA 30114-7797

Specialties and licenses

Taxonomy	Code	License
Augmentative Communication Clinic/Center	261QA3000X	0005319 (GA)
Hearing and Speech Clinic/Center Primary	261QH0700X	0005319 (GA)

Hearing and Speech Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, prescriptive, and therapy services related to congenital and acquired conditions and diseases that affect hearing capacity and speech ability.

5 other providers at this address

Other hearing and speech clinic/center providers in Douglasville

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NPI record

NPI: 1649680141
Entity type: Organization (Type 2)
Issued: May 6, 2014
Last updated: May 6, 2014
Status: Active
Subpart: Yes of Fundamental Speech Therapy Services Inc.

Other names

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Fundamental Focus · doing business as

Authorized official

Dr. Labrita Jeanene Cash-Baskett, CCC-SLP
President/owner
(770) 317-5993

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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 1649680141

Fundamental Speech Therapy Services Inc.'s National Provider Identifier is 1649680141, issued on May 6, 2014. The primary taxonomy on file is Hearing and Speech Clinic/Center (261QH0700X), and the practice location is in Douglasville, GA. The record was last updated on May 6, 2014.