SearchGeorgiaSpeech-Language Pathologist

Jill Widem

NPI 1083167993 · on the registry since 2016 · sole proprietor

Practice

Address
775 Ellsborough Ct
Johns Creek, GA 30005
Phone
(404) 518-0944

Registry record

Primary taxonomy
Speech-Language Pathologist
235Z00000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-07-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia