MEDICARE: COURTNEY LEE CADLE

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	SLP009300	GA

General Provider Information

NPI Number	:	1942149919
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	COURTNEY LEE CADLE

Provider Business Mailing Address
First Line	:	609 MEAD ST SE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30312-3728
Country	:	US
Telephone Number	:	404-771-5414
Fax Number	:

Provider Business Practice Location Address
First Line	:	609 MEAD ST SE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30312-3728
Country	:	US
Telephone Number	:	404-771-5414
Fax Number	:

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

Provider Enumeration Date	:	03/26/2026
Last Update Date	:	03/26/2026

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Directions to “ COURTNEY LEE CADLE ” Practice Location

Language	Start Address	Practice Location

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