MEDICARE: BETTER EXPRESSIONS CLINIC 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

General Provider Information

NPI Number	:	1962114520
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BETTER EXPRESSIONS CLINIC INC.

Provider Business Mailing Address
First Line	:	3645 MARKETPLACE BLVD # 130-805
Second Line	:
City	:	EAST POINT
State	:	GA
Zip	:	30344-5747
Country	:	US
Telephone Number	:	470-207-1892
Fax Number	:	470-202-8328

Provider Business Practice Location Address
First Line	:	4287 HIGH PARK LN
Second Line	:
City	:	EAST POINT
State	:	GA
Zip	:	30344-7043
Country	:	US
Telephone Number	:	470-207-1892
Fax Number	:	470-202-8328

Authorized Official
Title or Position	:	SPEECH LANGUAGE PATHOLOGIST
Name	:	JANAYE JASPER
Credential	:	CCC-SLP
Telephone Number	:	470-207-1892

Provider Enumeration Date	:	12/14/2022
Last Update Date	:	12/14/2022

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