Tameka Blanette Bacon Valid NPI
Individual provider · Speech-Language Pathologist · Lithonia, GA
- NPI
- 1013126770
- Type
- Individual (Type 1)
- Primary specialty
- Speech-Language Pathologist
- Specialty group
- Speech, Language and Hearing Service Providers
- Taxonomy code
- 235Z00000X
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2007-05-21
- Last updated
- 2016-03-03
Practice location
7327 Vigo Dr
Lithonia, GA 30058-5966
(404) 808-2323