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MRS. LUCINDA GROSS BEDGOOD M.ED., CCC-SLP

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

Registrant NPI Number: 1134286180

Individual Registrant:
MRS. LUCINDA  GROSS BEDGOOD M.ED., CCC-SLP
Gender: F
Sole Proprietor

Location and contact information for practice:
69 LINDSEY LANE SUITE A ST. MARYS, GA 31558-1702 US
Tel: 912-729-2294  Fax: 912-673-9457

Contact information for business:
69 LINDSEY LANE SUITE A ST. MARYS, GA 31558-1702 US
Tel: 912-729-2294  Fax: 912-673-9457

Registration Information:
NPI: 1134286180
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y235Z00000XSpeech, Language and Hearing Service Providers
Speech-Language Pathologist
GASLP001226

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
000584438EGA05
WELLCARE PROVIDER NUMBER343639GA01
AMERIGROUP PROVIDER NUMBE10059138GA01




HEALTH CARE JOBS GA - Page 1



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