MEDICARE: MS. A NORMAN CCC-SLP

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	:	1134564180
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. A NORMAN CCC-SLP

Provider Business Mailing Address
First Line	:	PO BOX 912
Second Line	:
City	:	FAIRBURN
State	:	GA
Zip	:	30213-0912
Country	:	US
Telephone Number	:	770-892-2037
Fax Number	:

Provider Business Practice Location Address
First Line	:	2 PEACHTREE ST NW
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30303-3141
Country	:	US
Telephone Number	:	770-892-2037
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/03/2013
Last Update Date	:	08/18/2021

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Directions to “ MS. A NORMAN CCC-SLP” Practice Location

Language	Start Address	Practice Location

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