SearchGeorgiaSpeech-Language Pathologist

Te'Ara Bouldin

NPI 1861235012 · on the registry since 2024 · sole proprietor

Practice

Address
120 Latham Dr
Warner Robins, GA 31088
Phone
(478) 887-3141
Organisation at this address
Canopy Wr Operations, Llc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
10

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
2024-06-18

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