Mary K Schaffer, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Guyton, GA
NPI 1568525152 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1568525152
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SLP004547 (GA)
- Practice address
- 108 Warner Dr
Guyton, GA 31312-4905 - Phone
- (912) 772-7605
- Fax
- (912) 772-7605
- NPI assigned
- Dec 18, 2006
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| SLP004547 | GA | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP004547 | GA | Yes |
Addresses
Primary practice location
108 Warner Dr
Guyton, GA 31312-4905
Mailing address
108 Warner Dr
Guyton, GA 31312-4905
Phone (912) 772-7605
Other providers in Guyton, GA
- Plush
- Positively Plush, LLC
- Rainbow Speech Therapy LLC
- Courteney Leigh Rainey
- Claude Levon Sanks III
- Annetta Scott
- Sarah R Skidmore-Crosby
- Alison Jeaneen Smith
- Soriano Medical Services Inc
- Dino Vincent Soriano Sr.
All providers in Guyton, 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 8, 2007. 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.