Deanna Anderson, M.ED., CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Cumming, GA
NPI 1669971198 · NPPES record last updated Feb 11, 2018
Key facts
- NPI
- 1669971198
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SLP008492 (GA)
- Practice address
- 2450 Atlanta Hwy Ste 1001
Cumming, GA 30040-1252 - Phone
- (678) 644-0819
- NPI assigned
- Feb 11, 2018
- Sex
- Female
- Sole proprietor
- Yes
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP008492 | GA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spot on Therapy for Kids, LLC | Speech-Language Pathologist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP008492 | GA | Yes |
Addresses
Primary practice location
2450 Atlanta Hwy Ste 1001
Cumming, GA 30040-1252
Mailing address
5235 Concord Downs Dr
Cumming, GA 30040-1360
Phone (419) 345-8125
Other providers in Cumming, GA
- Tyler Inchul An
- Sengsouriya Ananthasane
- Sanaa Mahmoud Anbarserri
- Anchored Alliance Counseling and Consulting, LLC
- Amy Alisa Anderson
- Jennifer L Anderson
- Madelene Anderson
- Mark D Anderson
- Nancy A Anderson
- Sally Anderson
All providers in Cumming, 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 Feb 11, 2018. 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.