MEDICARE: SPEECH LANGUAGE PATHOLOGY CONSULTANTS, 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	SLP001135	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	:	1730268244
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPEECH LANGUAGE PATHOLOGY CONSULTANTS, INC

Provider Business Mailing Address
First Line	:	1106 MASTERS LN
Second Line	:
City	:	SNELLVILLE
State	:	GA
Zip	:	30078-3583
Country	:	US
Telephone Number	:	770-985-9050
Fax Number	:	770-985-9223

Provider Business Practice Location Address
First Line	:	2386 CLOWER ST
Second Line	:	BUILD. E, SUITE 102
City	:	SNELLVILLE
State	:	GA
Zip	:	30078-6134
Country	:	US
Telephone Number	:	770-985-9050
Fax Number	:	770-985-9223

Authorized Official
Title or Position	:	PRESIDENT CEO
Name	:	MS. MARIE G. LESLEY
Credential	:	M.S./CCC-SLP/L
Telephone Number	:	770-985-9050

Provider Enumeration Date	:	11/03/2006
Last Update Date	:	08/22/2020

Similar Medicare Providers

1043496235 — DR. RAVI CHANDRAN DMD PHD FACS
Practice Location Address:

2386 CLOWER ST STE 100
SNELLVILLE, GA
30078-6134

Practice Phone: 770-979-9500
Practice Fax: 770-493-4900

1144321175 — ALAN F MCEWEN DC
Practice Location Address:

2386 CLOWER ST , SUITE G102
SNELLVILLE, GA
30078-6134

Practice Phone: 770-985-9390
Practice Fax: 770-985-7366

1326127853 — DR. STEPHEN D DORAN DPT
Practice Location Address:

2386 CLOWER ST , BUILD. E, SUITE 102
SNELLVILLE, GA
30078-6134

Practice Phone: 770-985-9050
Practice Fax: 770-985-9223

1588743017 — MRS. DEIDRE D. KIEFER M.S./CCC/SLP/L
Practice Location Address:

2386 CLOWER ST , BUILD. E, SUITE 102
SNELLVILLE, GA
30078-6134

Practice Phone: 770-985-9050
Practice Fax: 770-985-9223

1457430951 — MS. MARIE G. LESLEY M./S./CCC-SLP/L
Practice Location Address:

2386 CLOWER ST , BUILD. E, SUITE 102
SNELLVILLE, GA
30078-6134

Practice Phone: 779-985-9050
Practice Fax: 770-985-9223

1639248032 — MS. NENA H FENNELL MED.CCC-SLP L
Practice Location Address:

2386 CLOWER ST , BUILD. E, SUITE 102
SNELLVILLE, GA
30078-6134

Practice Phone: 770-985-9050
Practice Fax: 770-985-9223

Directions to “SPEECH LANGUAGE PATHOLOGY CONSULTANTS, INC ” 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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.