Raven Samone Watkins Valid NPI

Individual provider · Speech-Language Pathologist · Lithonia, GA

NPI

1154812261

Type

Individual (Type 1)

Primary specialty

Speech-Language Pathologist

Specialty group

Speech, Language and Hearing Service Providers

Taxonomy code

235Z00000X

License number

SLPA000313 (GA)

Sex

Female

Sole proprietor

Yes

Enumerated

2018-05-24

Last updated

2018-05-24