Elizabeth Hardy, SLP
Individual provider Active NPI Speech-Language Pathologist · Forsyth, GA
NPI 1104488683 · NPPES record last updated Jul 3, 2019
Key facts
- NPI
- 1104488683
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SLP004366 (GA)
- Practice address
- 120 N Lee St Ste E
Forsyth, GA 31029-2122 - Phone
- (478) 994-3390
- Fax
- (478) 845-6252
- NPI assigned
- Jul 3, 2019
- 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)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP004366 | GA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dialysis Center of Forsyth LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP004366 | GA | Yes |
Addresses
Primary practice location
120 N Lee St Ste E
Forsyth, GA 31029-2122
Mailing address
120 N Lee St Ste E
Forsyth, GA 31029-2122
Phone (478) 994-3390
Other providers in Forsyth, GA
- Jeremy T Goodwin
- Shannon Terrell Gordon
- Jessica P Graham
- Jennifer Harrison Grogan
- Clark Hall
- Charles Russell Harris Jr.
- Sterling Harris
- Naomi Rachelle Hartman
- Teknikia Harvey
- Healing Arts Physical Therapy
All providers in Forsyth, 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 Jul 3, 2019. 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.