Healthcare Provider Details

I. General information

NPI: 1912746470
Provider Name (Legal Business Name): CAYLYN MORGAN FREIERT M.S. CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CAYLYN MORGAN TATE

II. Dates (important events)

Enumeration Date: 05/23/2024
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4651 ROSWELL RD
SANDY SPRINGS GA
30342-3048
US

IV. Provider business mailing address

4651 ROSWELL RD
SANDY SPRINGS GA
30342-3048
US

V. Phone/Fax

Practice location:
  • Phone: 678-358-8140
  • Fax:
Mailing address:
  • Phone: 678-358-8140
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: