Mrs Stacey Lyn Gothard, MED CCC-SLP | |
335 Nicklaus Cir, Social Circle, GA 30025-5344 | |
(678) 625-4556 | |
(678) 625-9638 |
Full Name | Mrs Stacey Lyn Gothard |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 335 Nicklaus Cir, Social Circle, Georgia |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023165479 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | SLP005346 (Georgia) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mrs Stacey Lyn Gothard, MED CCC-SLP 335 Nicklaus Cir, Social Circle, GA 30025-5344 Ph: (678) 625-4556 | Mrs Stacey Lyn Gothard, MED CCC-SLP 335 Nicklaus Cir, Social Circle, GA 30025-5344 Ph: (678) 625-4556 |
Just For Kids Therapy Services, Inc. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 240 River Cove Rd, Social Circle, GA 30025 Phone: 404-831-7451 | |
Melanie Bartram, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 240 River Cove Rd, Social Circle, GA 30025 Phone: 404-831-7451 Fax: 770-787-2605 | |
Nancy Geis, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 240 River Cove Rd, Social Circle, GA 30025 Phone: 404-831-7451 Fax: 770-787-2605 |