Csjkids, LLC
Organization Active NPI Speech-Language Pathologist · Grayson, GA
NPI 1902453871 · NPPES record last updated Aug 24, 2019
Key facts
- NPI
- 1902453871
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- Legal business name
- CSJKIDS, LLC
- Practice address
- 166 Cypress Cove CT
Grayson, GA 30017-4199 - Phone
- (770) 896-7948
- Fax
- (770) 837-0855
- NPI assigned
- Aug 24, 2019
- Organization subpart
- No
Authorized official
- Name
- Jonathon W Patton
- Title
- Owner
- Phone
- (770) 896-7948
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst |
103K00000X | |||
| Physical Therapist |
225100000X | |||
| Occupational Therapist |
225X00000X | |||
| Speech-Language Pathologist |
235Z00000X | Yes |
Addresses
Primary practice location
166 Cypress Cove CT
Grayson, GA 30017-4199
Mailing address
166 Cypress Cove CT
Grayson, GA 30017-4199
Phone (770) 896-7948
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All providers in Grayson, 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 Aug 24, 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.