Elizabeth Kimsey Rouse, SLP

Individual provider Active NPI Speech-Language Pathologist · Hiawassee, GA

NPI 1104248509 · NPPES record last updated Jan 20, 2014

Key facts

NPI
1104248509
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
SLP005972 (GA)
Practice address
504 Kimsey Ridge Rd
Hiawassee, GA 30546-2536
Phone
(706) 781-7721
NPI assigned
Jan 20, 2014
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
SLP005972GAMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLP005972 GA Yes

Addresses

Primary practice location

504 Kimsey Ridge Rd
Hiawassee, GA 30546-2536

Mailing address

504 Kimsey Ridge Rd
Hiawassee, GA 30546-2536
Phone (706) 781-7721

Other providers in Hiawassee, GA

All providers in Hiawassee, GA · Speech-Language Pathologist in Georgia

Sources for this page

Verify at the official NPI Registry.