Elena Freeman
Individual provider Active NPI Speech-Language Pathologist · Suwanee, GA
NPI 1467014308 · NPPES record last updated Jul 1, 2019
Key facts
- NPI
- 1467014308
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SLP010684 (GA)
- Practice address
- 3905 Johns Creek CT Ste 250
Suwanee, GA 30024-1226 - Phone
- (770) 888-5221
- NPI assigned
- Jul 1, 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)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP010684 | GA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kids Creek Therapy | Speech-Language Pathologist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP010684 | GA | Yes |
Addresses
Primary practice location
3905 Johns Creek CT Ste 250
Suwanee, GA 30024-1226
Mailing address
3905 Johns Creek CT Ste 250
Suwanee, GA 30024-1226
Phone (770) 888-5221
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- Robert John Friberg
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All providers in Suwanee, 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 1, 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.