MEDICARE: WELL SPOKEN SPEECH THERAPY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1558839183
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WELL SPOKEN SPEECH THERAPY

Provider Business Mailing Address
First Line	:	6980 ROSWELL RD UNIT K11
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30328-2243
Country	:	US
Telephone Number	:	786-385-8319
Fax Number	:

Provider Business Practice Location Address
First Line	:	6980 ROSWELL RD UNIT K11
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30328-2243
Country	:	US
Telephone Number	:	786-385-8319
Fax Number	:

Authorized Official
Title or Position	:	SPEECH LANGUAGE PATHOLOGIST
Name	:	MS. ASHLEY HOLLYCE CULMER
Credential	:	MS, CCC-SLP
Telephone Number	:	786-385-8319

Provider Enumeration Date	:	11/13/2018
Last Update Date	:	11/13/2018

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Directions to “WELL SPOKEN SPEECH THERAPY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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