A to Z Pediatric Therapy, LLC
Organization Active NPI Speech-Language Pathologist · Atlanta, GA
NPI 1104176718 · NPPES record last updated Sep 12, 2012
Key facts
- NPI
- 1104176718
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SLP005916 (GA)
- Legal business name
- A TO Z PEDIATRIC THERAPY, LLC
- Practice address
- 5825 Glenridge Dr NE
BLDG 1, Suite 133
Atlanta, GA 30328-5387 - Phone
- (678) 733-9318
- Fax
- (404) 902-5440
- NPI assigned
- Sep 12, 2012
- Organization subpart
- No
Authorized official
- Name
- Amanda Zito, M.S., CCC-SLP
- Title
- Speech Pathologist
- Phone
- (678) 733-9318
Practitioners 9
-
Janet Chakkalapadavil, OTR/L
-
Victoria Ricks, MS, BCBA
-
Heather Perry Spake, MSP, CCC-SLP
-
Mary Charles Stewart, CF-SLP
-
Tiffany S. West, OT
-
Heather Zacka, MOT, OTR/L
-
Amanda Zito Griffin, M.S., CCC-SLP
-
Jenna Marie Riehle, M.A., CCC-SLP
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist |
235Z00000X | SLP005916 | GA | Yes |
Addresses
Primary practice location
5825 Glenridge Dr NE
BLDG 1, Suite 133
Atlanta, GA 30328-5387
Mailing address
5825 Glenridge Dr NE
BLDG 1, Suite 133
Atlanta, GA 30328-5387
Phone (678) 733-9318
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 910672577B | Medicaid | GA |
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All providers in Atlanta, 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 Sep 12, 2012. 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.