Aspire Pediatric Therapy of Ga, LLC
Organization Active NPI Speech-Language Pathologist · Flowery Branch, GA
NPI 1477973261 · NPPES record last updated Apr 21, 2014
Key facts
- NPI
- 1477973261
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SLP007398 (GA)
- Legal business name
- ASPIRE PEDIATRIC THERAPY OF GA, LLC
- Practice address
- 7367 Spout Springs Rd
Suite 125
Flowery Branch, GA 30542-5519 - Phone
- (770) 965-1861
- Fax
- (770) 965-1863
- NPI assigned
- Apr 21, 2014
- Organization subpart
- No
Authorized official
- Name
- Margaret Van Buren
- Title
- Owner
- Phone
- (770) 965-1861
Corporate family (same tax ID) 2
National Provider Directory
- Tax ID family
- Aspire Pediatric Therapy of Ga LLC
Locations
7367 Spout Springs Rd
Ste 125
Flowery Branch, GA 30542
Phone (770) 965-1861
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist |
235Z00000X | SLP007398 | GA | Yes |
Addresses
Primary practice location
7367 Spout Springs Rd
Suite 125
Flowery Branch, GA 30542-5519
Mailing address
7367 Spout Springs Rd
Suite 125
Flowery Branch, GA 30542-5519
Phone (770) 965-1861
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SLP00398 | Other | GA | GA SECRETARY OF STATE LICENSING BOARD |
Other providers in Flowery Branch, GA
- Shaina Alleyne
- Lindsey Clark Anderson
- Anesthesia Services of Georgia LLC
- Jeremy J Arkfeld
- Amy L Asevedo
- Aspire Pediatric Therapy of Ga, LLC
- Kristi Atkins
- Atlanta Rehabilitation and Performance Center
- Atlanta Vamc
- Avita Community Partners
All providers in Flowery Branch, 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 Apr 21, 2014. 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.