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ANGELINA TONI ALLEN SL PATHOLOGIST

>> Speech-Language Pathologist >> Speech, Language and Hearing Service Providers

Registrant NPI Number: 1982759759

Individual Registrant:
 ANGELINA TONI ALLEN SL PATHOLOGIST
Gender: F
Not Sole Proprietor

Location and contact information for practice:
417 W 3RD AVE  ALBANY, GA 31701-1943 US
Tel: 229-312-4411  Fax: 229-312-1221

Contact information for business:
PO BOX 1828  ALBANY, GA 31702-1828 US
Tel: 229-312-1000  Fax: 229-312-1221

Registration Information:
NPI: 1982759759
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y235Z00000XSpeech, Language and Hearing Service Providers
Speech-Language Pathologist
GASLP005198

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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