MEDICARE: FRANKLY SPEAKING SLP SVCS, INC.

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	SLP004796	GA

General Provider Information

NPI Number	:	1730579087
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FRANKLY SPEAKING SLP SVCS, INC.

Provider Business Mailing Address
First Line	:	4186 MILL STREET
Second Line	:	SUITE B
City	:	COVINGTON
State	:	GA
Zip	:	30014-2559
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4186 MILL STREET
Second Line	:	SUITE B
City	:	COVINGTON
State	:	GA
Zip	:	30014-2559
Country	:	US
Telephone Number	:	770-788-1521
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	JUNETTA ONEAL
Credential	:
Telephone Number	:	770-788-1521

Provider Enumeration Date	:	01/26/2015
Last Update Date	:	01/26/2015

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