Individual provider · Type 1 NPI

Mary E. Ethridge

Speech-Language Pathologist · Carrollton, GA

NPI number 1710202031 Active

Practice location

121B Lee St
Carrollton, GA 30117-3314

Call (770) 830-8622 Map

Fax (770) 832-9031

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000XSLP007220 (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…

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About NPI 1710202031

Mary E. Ethridge's National Provider Identifier is 1710202031, issued on Mar 30, 2010. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Carrollton, GA. The record was last updated on Mar 30, 2010.