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NPI Code Detail

MEDICARE: CHRISTINA TOOLE SLP005189

MEDICARE:   CHRISTINA  TOOLE  SLP005189
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
1235Z00000XSpeech-Language PathologistSLP005189GA

General Provider Information

NPI Number : 1841370541
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINA TOOLE SLP005189
Provider Business Mailing Address
First Line : 245 STONE MILL TRL NE
Second Line :
City : ATLANTA
State : GA
Zip : 30328-2168
Country : US
Telephone Number : 404-531-0264
Fax Number :
Provider Business Practice Location Address
First Line : 1200 LAKE HEARN DR NE
Second Line : SUITE 250
City : ATLANTA
State : GA
Zip : 30319-1415
Country : US
Telephone Number : 404-943-1070
Fax Number : 404-943-0890
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2006
Last Update Date : 07/08/2007

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Directions to “ CHRISTINA TOOLE SLP005189” Practice Location

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