NPIMap

Yvonne M McNeil, SLP

Individual provider Active NPI Speech-Language Pathologist · Stone MTN, GA

NPI 1124245113 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1124245113
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
003133 (GA)
Practice address
5462 Memorial Dr
Suite 203
Stone MTN, GA 30083-3239
Phone
(404) 297-9330
Fax
(404) 297-9329
NPI assigned
Apr 19, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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
003133GAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Dekalbphysical Therapy Past Accepting new patients
Georgia Rehabilitation Associates, Inc. Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 003133 GA Yes

Addresses

Primary practice location

5462 Memorial Dr
Suite 203
Stone MTN, GA 30083-3239

Mailing address

1838 Vancroft CT
Dunwoody, GA 30338-3627
Phone (770) 394-4274

Other providers in Stone MTN, GA

All providers in Stone MTN, GA · Speech-Language Pathologist in Georgia

Sources for this page

Verify at the official NPI Registry.