MEDICARE: ARISA STEWART-NGARUIYA M. ED. 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	SLP006070	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1184933244
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARISA STEWART-NGARUIYA M. ED. CCC-SLP

Provider Business Mailing Address
First Line	:	15 PERRY ST # 399
Second Line	:
City	:	NEWNAN
State	:	GA
Zip	:	30263-1918
Country	:	US
Telephone Number	:	470-668-0229
Fax Number	:

Provider Business Practice Location Address
First Line	:	2580 SUMMER LAKE RD
Second Line	:	#9402
City	:	LITHIA SPRINGS
State	:	GA
Zip	:	30122-3839
Country	:	US
Telephone Number	:	225-773-1634
Fax Number	:

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

Provider Enumeration Date	:	10/06/2010
Last Update Date	:	11/04/2022

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Directions to “ ARISA STEWART-NGARUIYA M. ED. CCC-SLP” Practice Location

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