Ricki Botsford
Individual provider Active NPI Speech-Language Pathologist · Richmond Hill, GA
NPI 1063253185 · NPPES record last updated Jun 3, 2024
Key facts
- NPI
- 1063253185
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- PCET004011 (GA)
- Practice address
- 2453 US Highway 17
Richmond Hill, GA 31324-5959 - Phone
- (912) 445-5612
- NPI assigned
- Jun 3, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PCET004011 | GA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chatterbox Pediatric Therapy | Speech-Language Pathologist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | PCET004011 | GA | Yes |
Addresses
Primary practice location
2453 US Highway 17
Richmond Hill, GA 31324-5959
Mailing address
138 Dukes Way
Savannah, GA 31419-8953
Other providers in Richmond Hill, GA
- Lyndsey Boone
- Catherine Thamer Bordlemay
- Justin William Bordlemay
- Bost Physical Therapy, LLC
- Christine Louise Bost
- Tanetra Denaye Bowens
- Tanner Boyle
- Jessica Lee Bradley
- Kayla Braun
- Shakira Brien
All providers in Richmond Hill, GA · Speech-Language Pathologist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 3, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.