Kevin De La Espada

NPI 1588344212 · on the registry since 2023

Practice

Address: 122 Gordon Commercial Dr Ste C
Lagrange, GA 30240
Phone: (706) 845-4045
Fax: (706) 845-4367
Organisation at this address: Pathways Center For Behavioral And Developmental Growth
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 97

Registry record

Primary taxonomy: 101YP2500X
101YP2500X
Licence states on file: GA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2026-09-09

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